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Rabbi
Mr.
Rebetzin
Mrs.
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Name
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First Name
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Format: (000) 000-0000.
Email Address
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example@example.com
Session type
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Presentation / workshop (1-6 Hours)
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Position
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Teacher
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Administrator / Principal
Coordinator
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Name of School / Organization
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Address
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Street Address
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How did you hear about us?
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I attended a workshop by Rabbi Feldman
From my principal / Administrator
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Session Duration
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1 session - 45 min
1 session - 60 min
1 session - 75 min
1 session - 90 min
1 session - 120 min
2 sessions - 75 min each
2 sessions - 90 min each
3 sessions - 75 min each
3 sessions - 90 min each
4 sessions - 75-90 min each (Lunch + 2 breaks)
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Specific requests - Session time/Breaks (optional)
Number of Participants
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1-10
11-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
101-125
126-150
151-175
176-200
201-300
301-400
401-500
other
Number of Participants (other)
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Participants: Please select all that apply
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Pre-School Teachers WOMEN
Elementary School Teachers (Pre1a-4th grade) WOMEN
Middle school Teachers (5th grade - 8th grade) WOMEN
High School teachers (9th grade - 12th grade) WOMEN
Elementary School Teachers (Pre1a-4th grade) MEN
Middle school Teachers (5th grade - 8th grade) MEN
Mesivta Teachers MEN
Beis Medrash Teachers MEN
Special Education Teachers
Parents - fathers
Parents - mothers
Administration / Principals
Summer-Camp Staff
Students - Special Shiurim on Torah & Current Events
Other
What would you like the presenter to know about the participants?
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Presentation Topic
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1. CONNECT: How to build trust and rapport with your students (1-3 hrs)
2. LEADERSHIP: Effective rules and procedures for your classroom (1-3 hrs)
3. MOTIVATION: Inspire your students to go the extra mile (2.5 hrs)
4. PRESENCE: Learn the unspoken language of teacher presence (1-3 hrs)
5. CONFLICT: Bullying and Conflict Resolution (2-3 hrs)
6. PROGRESS: Track academic and behavioral progress of your students (2-4 hrs)
7. INTERVENTION: Stress-free behavior interventions (2-4 hrs)
8. DEFIANCE: How to approach a defiant student (4-6 hrs)
9. PARENTS: Parents as Partners: The opportunity in parent communication (2 hrs)
10. COMMUNICATION: A protocol for hard conversations (2 hrs)
11. IMPACT (A): Design unforgettable lessons (2-3 hrs)
12. IMPACT (B): Deliver unforgettable lessons (2-3 hrs)
13. CAPTIVATE: How to capture your students' attention (2-3 hrs)
14. ADVANCE: Guide your students to develop Higher Order Cognition (2-4 hrs)
15. INTELLIGENCE: All Kinds of minds (2-4 hrs)
16. DIFFERENTIATION: Differentiated Instruction to maximize student growth
17. ACCOUNTABILITY: Ensure academic success for all your students (2-4 hrs)
18. FIRST DAY: The First day of school set for success (2-3 hrs)
19. ORIENTATION: Parent Orientation Maximized
20. ENERGIZE: Mid-Year energizer to keep the momentum and rise higher (1-2 hrs)
21. GEAR-UP: End the year on a high note and create meaningful memories (1-2 hrs)
22. Substitute day transformed (1-2 hrs)
23. Summer Camp - Staff Training (1-3 hrs)
Other
What would you like the participants to gain from the presentation?
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Are there any other speakers scheduled to speak before or after this presentation? If yes, please provide the schedule
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Presentation Location
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Live at your location
Online video conference (Zoom)
Live participants & online participants
Other
Presentation Style
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Lecture (followed by brief Q&A)
Interactive Lecture (limited Q&A throughout)
Interactive (Discussion and practice included)
Facilitated Discussion (Participants are guided to lead discussion)
Other
Presentation Language
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English
English + Yiddish phrases/quotes
Hebrew
Room Setup
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Separate Tables all facing front of the room
"Ches" Shaped Tables
Rows of chairs facing front of room (no tables)
Other
Logistics: Please select all that are a "YES"
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Can you print out the handouts for the participants (we will email it)
Do you have pens for participants?
Do you have refreshments for participants?
Do you have a large screen for the projector?
Do you have a "Shtender"
Is there access to the lighting (to dim light in front of projector)
Is there a power outlet in close proximity to presenter
Is there access to AC if needed
Is there car parking available
Can the entrance be open 40 minutes before presentation time for setup
Other
Handout: What is the exact spelling of your school’s name to be displayed on the handout, please indicate if it should be in Hebrew or English letters
Handout: Please attach your school logo so that we can customize the participant handout
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