The ECS National Forum Logo

REGISTRATION FORM
(General Registration)

THE NATIONAL FORUM ON
EDUCATION POLICY
JULY 8 - JULY 10, 2009/ NASHVILLE, TN
SHERATON NASHVILLE DOWNTOWN HOTEL 

 
Download FormsRather Register Offline?
1) Registration Info
  Organization*
  First Name*
  Last Name*
  Title*
  Address*
   
  City/Town*
  State*
  Zip Code*
  Phone*
  Fax
  E-mail Address*
* Required information
2) Additional Information
 

Please indicate below your affiliation in your organization:*

  Business/Education Partnership Legislator/Legislative Staff  
  Consultant Local School Staff  
District Staff National Organization
  Federal Agency School Board Member  
  Foundation Official State Agency  
Governor/Gov. Staff SHEEO/SHEEO Staff
Lab/Center University/College/Staff  
 
Other (list)
     
   
 
     
 3) Registration Fees
  Registration Fees include: 2 Receptions, 2 Buffet Breakfasts, 2 Plated Lunches, and
Education Session Materials.        
 
Registration Description: On or Before July 2 After July 2
General Public--Full Forum Registration  $650 $750
Single Day Registration - check below $350 $450
 
WED THURS FRI
   
 
4) Guest Registration Fee (defined as a member of your immediate family or spouse/partner)
 
 
Registration Description: Registration Fee
Guest $150
 
Name for Guest Badge:
Guests may register to attend the social functions only.  Please include payment for your guest when you register.
  Guest First Name
  Guest Last Name
 
 5) Meal Functions
  Please check all the meal functions you and your guest will be attending*
  YOU:
- Wednesday, 7/8 - Welcome Reception at Hotel
- Thursday, 7/9 - Networking Buffet Breakfast
- Thursday, 7/9 - Plenary Luncheon
- Thursday, 7/9 - Off-Site Reception
- Friday, 7/10 - Networking Buffet Breakfast
- Friday, 7/10 - Conant Award Luncheon
 
  YOUR GUEST:
- Wednesday, 7/8 - Welcome Reception at Hotel
- Thursday, 7/9 - Networking Buffet Breakfast
- Thursday, 7/9 - Plenary Luncheon
- Thursday, 7/9 - Off-Site Reception
- Friday, 7/10 - Networking Buffet Breakfast
- Friday, 7/10 - Conant Award Luncheon
 
6) Registration: Pre Forum Functions

On Wednesday, July 8th ECS has put together a pre-forum function.     Please check mark below if you are interested in attending.

Noon-3:00pm Tour of local Nashville school
 
7) Registration: Concurrent Sessions
To assist us in planning, please indicate your concurrent session preferences by selecting one session per time slot.  Indicating your preference will not restrict you from attending or require you to attend any of the sessions.
  Thursday, July 9th - 11:00am - 12:00pm
 
(225) More with Dr. Richard Elmore on Educational and Workforce issues to prepare our Students for Success
(226) Multi-State Collaboration: Lessons Learned from the New England Compact
(227) Building Stepping Stones into the Workforce
(228) P-20 with No Money: Potential for System Alignment in Difficult Economic Times
(229) How State Universities Can Take the Teacher Preparation Bull by the Horns
   
 
  Thursday, July 9th - 3:00pm - 4:00pm
 
(235) What Does it take for State Policy to Enable Disruptive Innovation?
(236) 21st Century Skills: Flavor of the Month or Here to Stay?
(237) Tapping Technology to Maximize Student Achievement
(238) A New Model to Improve Mathematics Instruction and Student Learning in the Early Years
Friday, July 10th - 10:15am - 12:15pm
(330) What's Around the Bend for High School Reform
(331) Using Education to Make the Most of Communities We Call Home: Education, the Economy and Workforce Development
(332) Getting Past Go: Developmental Education as a Critical State Strategy to Increase College Success
(333) Assessing 21st Century Skills
(334) Teaching Quality & Leadership
(335) It's Easier (and less costly) Than You Think: Creating a Policy Agenda for Linking Early Learning and the Early Grades
 
  Friday, July 10th - 2:30pm - 4:30pm

(360) Policy Workshop on the American Reinvestment and Recovery Act's Impact on State Education Policy

       
8)  Liability Waiver and Emergency Contact
Please read and check. I agree and acknowledge that I am participating in ECS events and activities as my own free and intentional act and assume responsibility for my own well-being and that of my guest.
*   Please check box for Signature Date:
Emergency Contact Name: Phone:
* Required information      
9)  If not paying by credit card, please indicate below other payment options:
You will be given an opportunity to pay online (on a secure page) after you submit this form.
Purchase Order - Please provide P.O.#:
  Check (payable to ECS) - Check/money order payments must be drawn in US dollars  
 
 10) Special Needs
  Please check all that apply:
 
Diabetic Food Allergy
Vegetarian Other Needs