EXHIBITOR APPLICATION Completed Form Must Be emailed to
[email protected] NO LATER than 5:00pm on Wednesday February 15, 2017. Selected Exhibitors will be notified by Friday February 17, 2017. All selected Exhibitors must be available for a 1-hour work session to go over a draft poster presentation with C2C staff the week of February 20, 2017. A template will be provided. Final Poster Presentations Must be Submitted by March 13, 2017 NAME OF EFFORT
Primary Contact
Email Address
Organization
Phone Number
Which specific geographic area(s) does this effort serve? Please indicate specific cities, school district(s) and / or communities (i.e. Tucson, Marana, Sahuarita, Oro Valley, Pascua Yaqui Tribe, Tohono O’odam Nation, etc.)
Please Contact Amanda Kucich at
[email protected] or 520.903.3904 with any questions
Briefly describe the effort including the major activities, the students impacted, and the primary organizations involved.
How does this effort work to advance racial and/or ethnic equity and close the opportunity gap for low income students, English language learners, children of color and / or other students who have historically been disadvantaged? How is this effort informed, designed or led by the community it serves?
Which Cradle to Career Indicator(s) of student success does this effort work to improve? (See Appendix for a complete list.)
What results have you obtained over time that show promising results for low-income students, English language learners and children of color? What data do you collect to track progress? How have you used data for continuous improvement? NOTE: We acknowledge the limited access to data that some efforts may experience, especially efforts not led by an institution such as a school district. There is no standardized requirement for the type of evidence that can be used to demonstrate results. Data may be quantitative or qualitative.
Please Contact Amanda Kucich at
[email protected] or 520.903.3904 with any questions
Are there significant challenges your effort has faced? ☐ Yes
☐ No
If Yes above, how have you been working to overcome them?
Is there additional information you would like considered (e.g. collaborations and other partnerships, innovations, contributions to building stronger systems, scale of impact, etc.)
Please Contact Amanda Kucich at
[email protected] or 520.903.3904 with any questions
By signing below, I acknowledge and agree that I am authorized to submit this application on behalf of to become an Exhibitor and can commit to two people working at our Exhibit during the 2017 What Works Symposium held at Tucson Electric Power, 88 E. Broadway Blvd. on March 27th from 4-6pm. I understand that there will be some time required to work with organizing staff on logistical details as well as communications and outreach materials, including exhibition materials which will be produced and paid for by the event organizers.
Signature
Date
The following Communications and Outreach information is being requested in order to begin the process of building the program and exhibits, and is NOT part of the Selection Criteria. Selected Exhibitors will receive communications and outreach support to help amplify and promote their stories of success. In addition to working with you to produce a customized retractable standing banner and trifold brochures (at no cost to you), the organizers will also provide social media outreach support and a promotional guide. In order to produce these materials and promote your effort, we need additional information about your existing communications assets.
Primary Communications Contact
Organization
email Address
Phone Number
Does this effort have an existing logo or branding?
☐ Yes
☐ No
Has your effort identified a spokesperson or persons who have benefitted from this effort?
☐ Yes
☐ No
If so, would they be interested in opportunities to build public awareness?
☐ Yes
☐ No
If you have any existing media coverage, video clips or other communications assets related to this effort, please provide a link if possible or describe below.
Please Contact Amanda Kucich at
[email protected] or 520.903.3904 with any questions
Appendix C2C Data Flow Chart
Please Contact Amanda Kucich at
[email protected] or 520.903.3904 with any questions
