Maryland's 10th Annual Service-Learning Conference
Thursday, March 22, 2001 at Villa Julie College
Workshop/Fair Registration Form
To register for the
conference,
you only need to contact Tracey Seabolt at
tseabolt@msde.state.md.us
or 410-767-0365. Complete this form only if you wish to
host one of the events mentioned below. You can submit this form
via e-mail to Kim Bellinger at
kbellinger@msde.state.md.us
by the due date given below, or mail
a paper copy to MSSA at the address below, or fax it to 410-333-2183.
Workshop and display selections are not confirmed until
you receive written notification from MSSA.
Please indicate which event/s
you are registering for:
- I want to host a Workshop (register by
February 8)
- I want to host a Service Fair display (register by
March 1)
- I want to host a Resource Fair display (register by
March 1)
| Title of workshop/display: |
| Primary presenter: |
| Title of presenter: |
| Organization/School: |
| County/LEA: |
Address:
City, State, Zip: |
| Phone/fax/email: |
| Alternate phone/email: |
Complete the remainder of this form only
if you are registering for a workshop.
Indicate all that apply...
Your target audience:
- Middle School Students
- Middle School Educators
- High School Students
- High School Educators
- Community Organizations
- Youth Only
- Adult Only
- Other:
Service-Learning experience of audience:
- Beginner
- Intermediate
- Advanced
Workshop A-V needs:
- TV/VCR
- Overhead
- Flipchart
Available to present:
- AM Session
- PM Session
- Both (AM/PM)
Please respond to the following questions. All workshops must be
interactive and should yield a tangible product (strategies, ideas, etc):
1. Who is the primary contact person?
2. What are the names, titles, and organizations of all presenters?
3. What are the goals of your workshop?
4. How does your workshop promote quality service-learning
experiences, as based on Maryland's
Best Practices for Service-Learning?
5. What opportunities for interaction and reflection will you include
in the workshop? Briefly describe hands-on activities.
6. What tools, ideas, or strategies will participants take
away to help them in their work.
7. Write a brief, exciting description of your workshop for the
conference booklet (no more than 50 words).
Maryland Student Service Alliance
Maryland State Department
of Education
200 West Baltimore Street, Baltimore, MD 21201