April 27-28, 2012  - Bloomington, Illinois

January 2012

Dear Fellow Toastmasters!

The District 54 Spring Conference Planning Committee requests proposals for education sessions at our Building Blocks for Leadership conference to be held April 27-28, 2012, in Bloomington, Illinois. The schedule allows for three concurrent sessions, 50-minutes each in length, on Saturday afternoon, April 28.

We are requesting audience-centered sessions that are interactive rather than lectures.

Proposals may be sent either by email or US mail. Receipt of proposals will be acknowledged by the same method received. Notification will be made by March 1, 2012.

Email

must be received by 5:00 p.m.

       Wednesday, February 15, 2012

send to dianahauman@aol.com

please reference “District 54 proposal” in the subject line

US mail

must be postmarked on or before Wednesday, February 15, 2012

send to             Diana Hauman

                        48 Kenfield Circle

                        Bloomington IL  61704-6295

Please consider sharing what you know about leadership in an educational session at the spring conference. If you have any questions, please contact either one of us.

Thank you.

Diana Hauman, DTM

(309)838-1320

dianahauman@aol.com

Deb Schroeder, ATM

(309) 662-6794

debra.l.schroeder@centurylink.com

Education Co-Chairs

Submission Checklist

q  Completed request

q  Biography (if separate from request form)

q  One page outline of program

q  Signature

q  Submission deadline: February 15, 2012

EDUCATION PROGRAM PROPOSAL REQUEST

District 54 Spring Conference

April 27-28, 2012

Toastmaster’s Name

Club #                                                Division #                              Current designation

How long a member of Toastmasters? (of this or any club)

Involvement in Toastmasters at the club/area/division/district/region level:

Home phone:                                                Day phone:

            Best time to contact:  __ morning    __ afternoon   __ evening

e-mail address:                                            

Alternate e-mail:

Proposed title of program:

Learning objectives: (What will the attendee learn? What are two to three “takeaways” the attendee may expect?)

In the space below, provide a two to three sentence overview of the program that could be used in the conference program. This should be descriptive enough that an attendee can make a decision about attending this session.

On an attached sheet, provide a one page outline of your proposed session, including how the attendees will be involved in the learning.

Anticipated AV needs: (check all that apply)

__ Powerpoint Projector (presenters are asked to bring their own laptop)

__ flip chart easel

__ flip chart pad

__ other _____________________________

- - - - - read and sign - - - - -

If this proposal is accepted, I give the conference planning committee permission to use the information provided in this proposal to publicize the conference and to promote attendance in my conference session.

If this proposal is accepted and I present at the conference, I agree that I will refrain from selling or promoting my own products or services during the program.  Tapes, books, etc. may be made available for purchase but cannot be promoted during the session.

_____________________________                   ______________________________

signature                                                                   print name

_____________________________

date

Note:   If more than one presenter, please submit two requests. The second request need only include the presenter information, biography and a reference in the “Proposed title” section to “See – name of program – submitted by – name of Toastmaster” and the second presenter’s name and signature and date