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If you are interested in learning more about the Center's consulting, events or presentations, please complete the form below, and a member of the Center will contact you.

Full Name:		Title:
Organization:
Address 1:		Address 2:
City:
State / Territory:		Zip / Postal Code:
Contact Info:
Business Phone:		Fax:
E-mail:
Consulting Information
Consulting Areas:	Choose one Needs assessment Instructional approaches Bilingual literacies English Language Learners Strategies to accelerate the literacy learning of struggling students School-wide literacy programs Regular Education Language Arts program evaluation Writing development Connecting reading and writing Content area reading and writing Assessment Grammar Standards in practice Managing organizational change Alignment of policy and practice
Event Information
Title / Theme:
Topic:	Choose one Adolescent Literacy Assessment Classroom Management Computers and Writing Content Area Reading Digital Composition EFL ELL Grammar Integrating Literature and Mathematics Integrating Technology in the ELA Classroom Literacy Coaching Reading Comprehension Reading Workshop Struggling Readers Teaching Literature Writing Across the Curriculum Writing Workshop Other
Purpose of Event:	(What is the outcome for the participants?)
Target Audience:	Choose one K-5 teachers 6-8 teachers 9-12 teachers K-12 teachers Administrators Preservice teachers Other
Site/Location:		Date:
Presentation Information
Duration of Presentation:
Expected Number of Attendees:
Format:	Choose One Inservice or Institute Day Keynote Workshop Visiting Teacher Breakout Session Other
If other, please explain: