NYS AHPERD

75th Annual Conference

2012 Call for Programs Application
Footprints to our Future

November 14-17, 2012
Turning Stone Convention Center
Verona, New York

More details about the 2012 Conference »

Call for Programs must be submitted on-line by February 28, 2012.

Programs can only be submitted online through the form below.
It is no longer possible to download the application form.

Presenters eligible for NYS AHPERD membership, must be current members and must register as a conference participant.

 

Program Title: (No longer than ten words)

Program Description:
(Three grammatically correct and descriptive sentences highlighting what the program is about. Describe the interconnectedness between your program and the improvement of curriculum, instruction and assessment practices. Please note, this description will be used online and in the Conference Program; we ask that you be sure to proof your work.)

Area Presentation is related to (check all that apply):


Adapted Physical Education & Sport
Administration
Aquatics
Coaching
Dance - Elementary
Dance - Middle
Dance - Secondary
Elementary School Physical Education

Exercise Science/Sports Medicine
Future Professionals
Health Education
Higher Education/Professional Prep
Middle School Physical Education
Recreation/Adventure Education
Retirees
Secondary Physical Education
Type of Presentation (check more than one if needed):
Open Activity Session
Lecture Only Session
 Panel Discussion

Room set-up requirements:

Please plan for the following room dimensions as you prepare your program for the NYS AHPERD Conference:
Open Activity Rooms are typically 26’x52’ to 32’x58’
Theater Rooms are typically 24’x18’ to 21’x26’
Perimeter seating / Open Activity
Theater seating (chairs in rows)
Additional room requirements (check only if necessary to your presentation):
Pool
Dance Floor
Podium

A/V Requirements

Note: Please request only the A/V items that are vital to your presentation (NYS AHPERD pays expensive rental fees for use of A/V equipment). Equipment not listed below including LCD projectors and computers will be the responsibility of the presenter!

Screen Only
VCR with monitor
DVD with monitor
Flipchart with pad & markers
CD Player 		MP3 Docking Station
Handheld Microphone
Lapel Microphone
Will bring own:
     
Please list three program objectives:
As a result of attending this workshop, participants will...
1.
2.
3.

Presenter Details:

Is this presentation being done by Future Professionals?        No        Yes
Student Presenters must have a presentation advisor - see below!

Lead Presenter 1 Name / School District or Company:

Presenter 2 Name / School District or Company:

Presenter 3 Name / School District or Company:

Presenter 4 Name / School District or Company:

If there are more than 4 presenters, please email Jessica Synenki, Conference Director, at jsynenki@nysahperd.org with additional names and School District or Company.
Lead Presenter Home Address:
Lead Presenter Home City:
Lead Presenter Home State:
Lead Presenter Home Zip:
Lead Presenter Work Phone (in format: xxx-xxx-xxxx): - -
Lead Presenter Home Phone (in format: xxx-xxx-xxxx): - -
Lead Presenter Email:

Advisor Details:

Advisor name:

Advisor College / University:
Address:
City:
State:
Zip:
Advisor Work Phone (in format: xxx-xxx-xxxx): - -
Advisor Email:

Presider Information: Do you have a friend or colleague who would be interested in PRESIDING over your presentation at the Conference, if you are selected? Please remember, that as a presider, they must be a current member of NYS AHPERD, if eligible.

       No        Yes

Potential Presider name:

Email:
Phone number:

Presenters eligible for NYS AHPERD membership, must be current members and must register as a conference participant.

Call for Programs must be submitted on-line by February 28, 2012.

Programs will be reviewed and selected by the end of May 2011.

Questions? Please feel free to call Jessica Synenki, NYS AHPERD Conference Director, at (315) 823-1015.

Thanks for taking advantage of this opportunity to share your ideas and success with your peers!

 

Terms of Agreement

I understand if I am selected, as a presenter for the NYS AHPERD Conference, myself and any co-presenters must be current NYS AHPERD Members, if eligible. For questions about eligibility, please contact Jessica Synenki at 315-823-1015 or toll free at 877-473-7398.

I understand if I am selected as a presenter for the NYS AHPERD Conference, myself and any co-presenters are responsible for all costs including transportation, lodging and conference registration.

I understand I should bring copies of handout materials for participants.

   

Upon pressing 'submit', this form is e-mailed to:
jsynenki@nysahperd.org