2015 AEA LEADERSHIP CONFERENCE – REGISTRATION and WORKSHOP SELECTION FORM
Please PRINT the information below and return this form, with the $25.00 registration fee for each person, to Darryl Sinkfield, AEA, P. O. Box 4177, Montgomery, AL 36103-4177 by June 5. Please use one form for each person. Make checks or money orders payable to AEA.
1. NAME: ______________________________________________________________________________________________________
2. ADDRESS: _________________________________________ CITY: ______________________ STATE: _____ ZIP: _________
3. PERSONAL EMAIL ADDRESS (If applicable): ______________________________________________________________________
4. PHONE include area code (Work): __________________________ (Home): ____________________________________________
5. LOCAL ASSOCIATION – Please Do Not Abbreviate: ________________________________________________________________
6. IS THIS YOUR FIRST TIME TO ATTEND THE LEADERSHIP CONFERENCE? Yes: __________ No: __________
1. Thursday, June 11, 1:30 p.m. – 3:00 p.m. – Division Representative Assemblies – Select the Division Assembly you will participate in:
____ ACT (RA will be 10:00 a.m. – 3:00 p.m.) _____ Administrator _____ ESP Rep Assembly ____ Postsecondary
2: Thursday, June 11, 3:15 p.m. – 5:15 p.m.: Select three in first, second and third order of preference:
____ Training for Experienced Presidents/Vice Presidents _____ Training for Secretaries
____ Training for NEW Presidents/Vice Presidents _____ Training for Treasurers
____ Membership Recruitment and Member Involvement
3: Friday, June 12, 8:00 a.m. – 9:45 a.m.: Select three in first, second and third order of preference:
____ Politics All Around Us – A Legislative Update ____ Generation Next Leaders
____ Changing the Culture of Your Local – Member-to-Member ____ Member Benefits – Savings Worth the Cost
____ Special Education: Dyslexia Bill of Rights for Students ____ The Power of Participation
____ Building Association and Community Collaboration
4. Friday, June 12, 9:50 a.m. – 11:35 a.m.: Select three in first, second and third order of preference:
____ Politics All Around Us – A Legislative Update ____ Be the News – Don’t Make the News
____ Hands off – TNT! ____ PEEHIP – What’s Next
____ Human Trafficking – Prevention at the School Door ____ True Colors (formerly The Power of Participation)
____ Building Association and Community Collaboration
5: Friday, June 12, 11:40 a.m. – 1:25 p.m.: Select three in first, second and third order of preference:
____ Generation Next Leaders ____ Be the News – Don’t Make the News
____ Changing the Culture of Your Local – Member-to-Member ____ Special Education: Dyslexia Bill of Rights for Students
____ The Charter School Bill – It Will Affect You ____ True Colors (formerly Collaborate or Die)
____ PEEHIP – What’s Next
6. Saturday, June 13, 8:00 a.m. – 9:30 a.m.: Select three in first, second and third order of preference:
____ Professional Issues Organizing ____ Laws That All Public Education Employees Must Know
____ Human Trafficking – Prevention at the School Door ____ The Charter School Bill – It Will Affect You
____ Fiduciary Responsibilities for Local Officers
7. Saturday, June 13, 9:35 a.m. – 11:05 a.m.: Select three in first, second and third order of preference:
____ Professional Issues Organizing ____ Laws That All Public Education Employees Must Know
____ Hands off – TNT! ____ Member Benefits – Savings Worth the Cost
____ Say What? Fundamentals of Great Public Speaking
8. Friday, June 12, 3:30 p.m. – 5:00 p.m. – mark each as it applies:
I will participate in the Wellness Screening: _____ Yes or _____ No Spouse Participation: _____ Yes or _____ No
9. Meal Participation – Check each meal that you will participate in: _____ Thursday, June 11, Banquet _____ Friday, June 12, Luncheon
Registration fee is the same regardless of meal participation.