2016 Summer Leadership Institute Application for Breakout Session Thank you for your interest in Summer Leadership Institute (SLI). Please complete all sections of this application, save it to your files, and then send it as an email attachment to kathy.dundee@tasb.org. Acceptance of this application does not guarantee its selection. Notification of acceptance/rejection will be sent by e-mail in mid-to-late March. Session Requirements Deadline for application submission is Friday, February 12. Breakout Sessions must be 1 hour and 15 minutes in length. Only applications that are completed in full and sent as an e-mail attachment will be accepted. (NOT as a pdf please!) Date and Location I would like to present at SLI San Antonio, June 16-18, 2016 I would like to present at SLI Fort Worth, June 30-July 2, 2016 I would like to present at both SLI locations Main Presenter Information First Name: Last Name: E-mail address: Position: (board member, superintendent, principal, etc.) Phone Number: District, company or organization (do not abbreviate): District Size (ADA): n/a NOTE: All TASB communications will go the main presenter and it is the responsibility of the main presenter to communicate directly with the other copresenter(s). Copresenter(s) Information Copresenter #1 First Name: Last Name: Position: District, company, or organization: Copresenter #2 First Name: Last Name: Position: District, company, or organization: Copresenter #3 First Name: Last Name: District, company, or organization: Position: Session Details The primary audience at Summer Leadership Institute is school board members; please plan your session accordingly. Session Title and Description (75 word maximum; use complete sentences) Session Experience: Briefly answer the following: 1. Identify what attendees will know and/or be able to do after attending the session; 2. How will the session equip school board members to govern and lead their districts effectively?; and 3. What will the attendees be doing during the session? (Interactive discussion; learning activities; skill-building exercises, etc.) Session Category (select one from drop down options) Select category Day/Time Preference I have no day or time preference I have a day and time preference (see below) Thursday Friday AM (before noon) PM (after noon) Every effort will be made to accommodate your preferences; however, no guarantee is made. Room Arrangement and Audio Visual Setup Each room will be set to maximum capacity with microphones as appropriate, data projector and screen, house sound for audio and internet connectivity. Room changes will not be made on site. Questions? Contact Kathy Dundee at kathy.dundee@tasb.org or 512.505.2462. By submitting your application, you represent that you (or your company) are fully authorized to use all content that you present or make available to attendees. You represent that, to the best of your knowledge, your presentation does not violate any proprietary or personal rights of others (including any copyright, trademark or privacy rights.) and contains nothing defamatory or otherwise unlawful. You understand that TASB will not defend or indemnify you against any claims made by others that arise from your presentation. You grant TASB permission to use your name, likeness, photograph and biographical data in connection with the use and promotion of the program. If you grant TASB permission to publish your content, your content may be published in full in print or electronic medium, up to a year after your presentation. You represent that you are authorized to bind the organization you represent, if applicable. Texas Association of School Boards Leadership Team Services