B-3 Continuity Conference 2017 Application to Attend Thank you for your interest in the Illinois Birth-to-Third (B3) Continuity Conference. The B3 Conference is open to school districts and community leaders working towards birth-to-third grade alignment strategies in their community. Communities are encouraged to come as teams with representatives from early childhood, K-12 schools, and the broader community. Entities holding Preschool Expansion Grants and Preschool for All Expansion Grants should be included within applying communities. Application materials are Due Friday, May 12th, 2017 Accepted Conference Participants will be notified the week of May 22nd Agenda and conference updates will be posted to the Conference website Lead Entity Information Question Title * 1. Is your district a current recipient of one of the following grants? Please check all that apply. Preschool Expansion Grant Preschool For All Expansion Grant Preschool For All Prevention Initiative Grant None Question Title * 2. Lead district/organization holding PEG/PFA funding? Question Title * 3. Team Leader Info Leader Name: Leader Organization: Leader Email: Question Title * 4. Team Leader's Position Early Childhood Teacher (0-5) K-3 teacher Special Education Teacher Curriculum Director Instructional Coach Community- Based Organization Member Administrator Other (please specify) Question Title * 5. If you need hotel accommodations, we have reserved a block of rooms at discounted rates at the Hyatt, Marriott, and Hampton hotels in Bloomington for everyone. Only current PEG and PFA expansion grant communities will be reimbursed hotel, mileage and parking expenses. You will need to make your own hotel and travel arrangements. I don't need a hotel. I need reimbursement for a hotel June 14th. I need reimbursement for a hotel June 13th and 14th. (Only applicable if you are also attending the Partner Plan Act Conference on the 13th.) Community Partner Information Question Title * 6. We encourage you to bring a team of 2-4 members to the conference with you. Please consider a variety of positions; administration, preschool and K-12 teachers, curriculum directors, community directors, etc. How many team members are you planning on bringing with you to this conference?*Note that your team selection can be flexible but we would like to see who you are recruiting to participate. 2 3 4+ Question Title * 7. First Team Member Name: Organization: Email: Question Title * 8. Will this team member need hotel accommodations? They don't need a hotel They need a hotel on June 14th. They need a hotel on June 13th and 14th. (only applicable if they are also attending the Partner, Plan, Act Conference on the 13th.) Question Title * 9. Position of First Team Member Early Childhood Teacher (O-5) K-3 Teacher Special Education Teacher Curriculum Director Instructional Coach Community-Based Organization Member Administrator Other (please specify) Question Title * 10. Second Team Member Name: Organization: Email: Question Title * 11. Will this team member need hotel accommodations? They don't need a hotel. They need a hotel for June 14th. They need a hotel June 13th and 14th (only applicable if they are also attending the Partner, Plan, Act Conference on the 13th.) Question Title * 12. Second team member's position? Early Childhood Teacher (0-5) K-3 Teacher Special Education Teacher Curriculum Director Instructional Coach Community-Based Organization Member Administrator Other (please specify) Question Title * 13. Third Team Member Name: Organization: Email: Question Title * 14. Will this team member need hotel accommodations? They don't need a hotel. They need a hotel June 14th. They need a hotel June 13th and 14th (only applicable if they are also attending the Partner, Plan, Act Conference on the 13th.) Question Title * 15. Position of the third team member? Early Childhood Teacher (0-5) K-3 Teacher Special Education Teacher Curriculum Director Instructional Coach Community- Based Organization Member Administrator Other (please specify) Question Title * 16. Fourth Team Member Name: Organization: Email: Question Title * 17. Will this team member need hotel accommodations? They don't need a hotel. They need a hotel June 14th. They need a hotel June 13th and 14th (only applicable if they are also attending the Partner, Plan, Act Conference on the 13th.) Question Title * 18. Position of the fourth team member? Early Childhood Teacher (0-5) K-3 Teacher Special Education Teacher Curriculum Director Instructional Coach Community- Based Organization Member Administrator Other (please specify) If you plan to have more than 4 stakeholders participate in the conference, please email Pam Reilly at reillyreillypc@gmail.com with information about additional participants. Questions about the application should also be directed to Pam Reilly as well.Announcements about application approval will be made Friday, May 12th. Additional information about the conference can be found on the 2017 Conference website. Done