 |
Sunshine State TESOL
of Florida
Conference Participation Grant
Application Form |
PLEASE PRINT OR TYPE
DATE:
NAME:
______________________________________________________________________
AFFILIATION:
________________________________________________________________
POSITION:
___________________________________________________________________
MAILING ADDRESS:
__________________________________________________________
CITY: ___________________________________________ STATE:
____________ZIP______
EMAIL ADDRESS(current working email address required) :__________________________
TELEPHONE: (work)________________________
(home)____________________________
SUNSHINE STATE TESOL MEMBERSHIP NUMBER: _______________________________
1. Have you ever attended a
Sunshine
State TESOL annual conference? ____
2. Have you submitted a proposal to
make a presentation at the 2008 conference? ____
If yes, what is the
title of your proposed presentation?
Has
it been accepted for the conference? yes/ no/ don't know
3. If you are/were a teacher, where
do/did you teach?
4. If you are currently a graduate
students,
what are you studying?
5. Are you involved with a local
chapter
of Sunshine State TESOL? If so, in what capacity?
ESSAY: In no more than 400 words (double-spaced), explain
how
attending
the SSTESOL conference will enhance your professional development and
allow
you to better serve the ESOL population in Florida.
I AGREE TO ATTEND THE ENTIRE CONFERENCE AND TO SUBMIT A ONE TO TWO PAGE
SUMMARY OF THE EXPERIENCE THAT MAY BE PUBLISHED IN THE MESSENGER.
_______________________________________Date:______________
(APPLICANT’S SIGNATURE)
Please return this application by mail or e-mail to:
Dr. Allene Grognet
8231 Nice Way
Sarasota, FL 34238
e-mail: aggrognet@aol.com