Request an Invitation to a 2019 Summit

T&L Leadership Summits are intimate, invitation-only events geared to district and state-level education leaders with a strong interest in technology's role in schools. Please use this form to indicate your interest in attending one of these Summits. Space is extremely limited and we can not guarantee you a spot but we promise to let you know as soon as possible whether you have been accepted. Tech & Learning covers the cost of hotel, air travel, and admission for approved attendees.

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* 1. Please fill out your contact information:

First Name

Last Name

Job Title

District/Organization

City

State

Preferred Email

Alternate Email (if available)

Phone

Mobile Phone

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* 2. If you have an assistant you would like us to cc on future correspondence, please fill out this information:

Name of assistant:

Email address:

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* 3. Please indicate which of the following 2019 summits you would be interested in attending:

October 4-5: T&L Leadership Summit, Chicago, IL (Theme: Personalized Learning)

December 5-6: New Orleans, LA (Theme: Digital Equity)

Comments: If you checked more than 1 above, feel free to indicate a preference here.

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* 4. How did you learn about these events?

Email marketing

Tech & Learning magazine

Tech & Learning website

Social Media

Colleague Referral

If yes, please indicate which one(s)

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* 5. Have you attended a previous T&L Leadership Summit?

Yes

If yes, please indicate which one(s)

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* 6. Please describe, briefly, the technology-supported initiatives/approaches that you are most excited about sharing with other district leaders at this event.

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* 7. Please list the tech tools you are using primarily in your district:

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* 8. Please list the technology solutions you are looking to purchase for your district (hardware, software, curriculum, management systems, etc.):

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* 9. Please comment on any topics that you think are MUST-includes in the 2019 summits.

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* 10. Please indicate the number of students served by your district

Fewer than 5,000

Between 5,000 and 10,000

Between 10,000 and 25,000

Between 25,000 and 50,000

Between 50,000 and 75,000

More than 75,000

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* 11. Do you have a close working relationship with a company that would make a good Summit sponsor? If so, please explain.

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* 12. Please indicate any additional people (from a district other than your own and/or a state-level person) you would recommend as speakers or participants in the T&L Leadership Summit. Please include their name(s), title(s), district(s), phone number(s), and email address(es).

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* 1. Please fill out your contact information:

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* 2. If you have an assistant you would like us to cc on future correspondence, please fill out this information:

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* 3. Please indicate which of the following 2019 summits you would be interested in attending:

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* 4. How did you learn about these events?

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* 5. Have you attended a previous T&L Leadership Summit?

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* 6. Please describe, briefly, the technology-supported initiatives/approaches that you are most excited about sharing with other district leaders at this event.

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* 7. Please list the tech tools you are using primarily in your district:

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* 8. Please list the technology solutions you are looking to purchase for your district (hardware, software, curriculum, management systems, etc.):

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* 9. Please comment on any topics that you think are MUST-includes in the 2019 summits.

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* 10. Please indicate the number of students served by your district

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* 11. Do you have a close working relationship with a company that would make a good Summit sponsor? If so, please explain.

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* 12. Please indicate any additional people (from a district other than your own and/or a state-level person) you would recommend as speakers or participants in the T&L Leadership Summit. Please include their name(s), title(s), district(s), phone number(s), and email address(es).

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* 13. Additional Comments: