Ministry of Science and Education of Ukraine

MINISTRY OF SCIENCE AND EDUCATION OF UKRAINE

U.S. EMBASSY IN UKRAINE

TESOL-UKRAINE

2017 TESOL-Ukraine National Convention

PATHWAYS TO SUCCESS FOR CONTEMPORARY ENGLISH TEACHERS AND THEIR LEARNERS

Lviv, April 25-26, 2017

REGISTRATION FORM

Last name, First name
Institution name
Position
E-mail address
Mobile telephone number
I need my Invitation Letter: / by e- mail ______by regular mail ______
Mailing address
Ukrainian participants that need a hard copy of the Invitation Letter by regular mail should fill out this box in Ukrainian.
Please check one of the following options in each line:
I need one-night complimentary lodging in Lviv:
NOTE:
Complimentary one-night lodging (B&B) will be provided only for 40 DELEGATES registered by February 28, 2017, and for 35 PRESENTERS. Your Invitation Letter will indicate if you are provided with free one-night accommodation. / yes , from ______to ______
no ______
I want to choose the following option of participation: / attend without making a presentation ______
attend without making a presentation, and publish the paper in the Book of Convention Papers ______
attend and make a presentation without publishing______
attend, make a presentation, and publish the paper in the Book of Convention Papers_____
I am an EFL professional from temporary occupied territories / I lived and worked in ______, now I live and work in ______and would like to apply for reimbursement for the round trip expenses to Lviv on the first come first served basis

Photography and Other Recording

There may be photography, audio or video recording at the convention. By entering the event premises you give consent to the use of your photograph, video or audio recording in whole or in part without restriction or limitation for any educational or promotional purpose.

If you do not want to be photographed or videotaped, please notify the organizers.

MINISTRY OF SCIENCE AND EDUCATION OF UKRAINE

U.S. EMBASSY IN UKRAINE

TESOL-UKRAINE

2017 TESOL-Ukraine National Convention

PATHWAYS TO SUCCESS FOR CONTEMPORARY ENGLISH TEACHERS AND THEIR LEARNERS

Lviv, April 25-26, 2017

PRESENTER FORM

Last name, First name
Position,
Institution name
Presentation Title
Abstract for the Convention Program
~ 100 words. It helps participants decide which workshops/demonstrations are the most appropriate to their interests. It should reflect the conceptual content of your presentation and what will be gained from attendance.
All information should be in complete sentences, and written in the third person future form: "The presenter will show..." rather than "I will show..." and "Participants will..." rather than "You will..."
Short Bio for the Convention Program
~ 50 words.
NB: The CVs/resumes of the presenters should be attached separately.
Type of presentation, equipment needed
Each room will be set with a laptop (with internet access) plus LCD projector with a screen. / Workshop (60 min.) ______
Demonstration with PowerPoint Presentation (30 min.) ______
Equipment: ______
Mailing address with postal code
Telephone number
work/ mobile
E-mail address

Please, send together with your presenter’s form the following two attachments:

1.  CV with the history of your experience in giving workshops or making presentations.

2.  All proposers are required to submit a one-page summary. It should indicate the topic area and structure of your presentation and outline exactly what you are going to talk about.

Promotional Presentations

Indicate whether or not this workshop/demonstration will be promoting commercial teaching materials, commercial systems, or other commercial services.

Contact Information

Organizing Committee:

Alla Radu, TESOL-Ukraine President (Lviv)

Tel: 099-184-73-60; 097-242-34-18; E-mail: alla.radu@gmailcom

Liliya Kuznetsova, TESOL-Ukraine Treasurer (Lviv)

Tel.: 067-97-95-186; 095-709-74-96; E-mail:

Svitlana Zubenko, TESOL-Ukraine Secretary (Kharkiv); ; 050-101-60-53

Attendees without publication – to Oleksandra Voichyshyn; tel.: 067-672-76-65, Zalishchyky, Ternopil Oblast

Special Interest Sections:

 Methods of Language Teaching and Learning

Co-Heads: Dr. Svitlana Chugu, e-mail: ; tel.: 050-313-56-65; Dr. Svitlana Gladio, e-mail: ; tel.: 068-837-04-27; Vinnytsya Institute of Trade and Economics of Kyiv National University of Trade and Economics

 English for Specific Purposes

Head: Dr. Olena Ilyenko, e-mail: ; tel.: 050-109-46-53;

O.M. Beketov National University of Urban Economy in Kharkiv

 English Literature & Culture

Co-Heads: Dr. Oksana Shostak, e-mail: ; tel.: 067-258-21-29; National Aviation University, Kyiv;

Natalia Reutska, e-mail: ; tel.: 098-068-92-89; International School Project, Khmelnytskyi

 Teaching Young Learners & Secondary School Students

Co-Heads: Dr. Maryna Tsehelska, e-mail: ; tel.: 067-493-09-83;

Dr. Olena Pakhomova, e-mail: ; tel.: 068-030-53-01;

Kryvyi Rih State Pedagogical University

Oblast Leaders and Representatives:

1.  Svitlana Kurysh, Chernivtsi Oblast Leader (Chernivtsi): 050-956-82-11

2.  Iryna Zornytska, Zhytomyr Oblast Leader (Zhytomyr): 067-899-57-23

3.  Svitlana Korneliuk, Sumy Oblast Leader (Okhtyrka): 099-742-00-72

4.  Olena Pakhomova, Dnipropetrovsk Oblast Leader (Kryvyi Rih): 068-030-53-01

5.  Olena Semikina, Zaporizhzhya Oblast Leader (Melitopol): 098-409-89-87

6.  Olena Parieva, Luhansk Oblast Leader (Kyiv): 050-986-74-87

7.  Oleksandra Didukh, Chernihiv Oblast Leader (Kyiv): 066-364-72-25

8.  Valentyna Tumasova, Cherkasy Oblast Leader (Cherkasy): 097-329-32-48

9.  Oksana Kozachukhna, Kyiv & Kyiv Oblast Leader (Kyiv): 066-40-111-70

10.  Natalia Smila, Kyiv & Kyiv Oblast Representative (Kyiv)

11.  Nataliya Hrynya, Lviv Oblast Leader (Lviv): 066-227-92-52

12.  Yevgenia Moshtagh, Kharkiv Oblast Leader (Kharkiv): 050-549-08-39

13.  Olena Valchuk, Volyn’ Oblast Leader (Kovel’): 050-803-22-02

14.  Olena Voloshyna, Kirovohrad Oblast Representative: 097-224-30-98

15.  Antonina Zaytseva, Poltava Oblast Leader (Myrhorod): 066-374-12-02

16.  Irina Holdrina, Kherson Oblast Leader (Kherson): 066-715-99-6; 067-967-49-28

17.  Lidiia Aizikova, Mykolayiv Oblast Leader (Mykolaiv): 067-319-53-81

18.  Olesya Monyuk, Ivano-Frankivsk Oblast Representative (Tysmennytsya): 050-166-95-54

19.  Oleksandra Voichyshyn, Ternopil Oblast Reperesentative (Zalishchyki): 067-67-27-665

20.  Anna Savchenko, Odesa Oblast Leader (Odesa): 099-631-44-56