BLEgroup Improving Student Learning with Services to Schools and the Education Iindustry

CIO & Instructional Leader Panels

February 6th & 7th, 2012
The Driskill Hotel
604 Brazos Street
Austin, TX
Reservations - 800.992.2694

Panel Preference Survey

(Please respond prior to January 6th, 2012)

Please note:

Items prefixed with * are required.
Use the "Notes" section for any comments or special considerations about any of the items

* First Name:

* Last Name:

* Company:

* Phone:

ext:

* Address:

* City:

* State: * Zip:

* E-Mail Address:

* Attendees:

1. 2.
3. 4.
5. 6.

* Session:

I have no preference for which sessions I attend

I prefer particular session times (rank the sessions below, 1 being your most preferred):

Day 1: 8:00-10:30am 11:00-1:30pm 2:30-5:00pm
Day 2: 8:00-10:30am 11:00-1:30pm 2:30-5:00pm

Request Panelists:

Select your 6 preferred Panelists:

State Education Agency (SEA) Jamey Fitzpatrick (Michigan Virtual School) Julie Young (Florida Virtual School) Rick Gaisford (Utah)	Intermediate Units Amy Perry DelCorvo (New York) Harry Bloom (San Diego County, California)
Large Districts Betty Burks (San Antonio, Texas) Debbie Karcher (Dade County, Florida) Donna Wright (Knoxville, Tennessee) Ed Freeman (Denver, Colorado) Harold Rowe (Houston, Texas) Manuel Isquierdo (Tucson, Arizona) Rich Contartesi (Erie, Pennsylvania) Sheryl Abshire (Lake Charles, Louisiana)	Leading Edge Districts Carl Strang (Albany, New YOrk) Gordon Knopp (Cheyenne, Wyoming) John David Son (Naperville, Illinois) John Vaille (Lake Washington, Washington) Julie Carter (Minnetonka, Minnesota) Ken Eastwood (Middletown, New York) Mark Evans (Andover, Kansas) Patrick Plant (Anoka, Minnesota) Rob Dickson (Andover, Kansas) Will Blaylock (Eureka, Missouri)

AV Requirements:

LCD Projector, screen and Internet connection are provided. Please indicate any other AV needs:

* Agenda Session:

A telephone conference will be scheduled with you to develop the agenda for your session. Please indicate three preferred dates and times:

1.
2.
3.

Dinner Reservations:

You are invited to our corporate networking dinner on February 6, 2012. The dinner is held in a private dining room of the hotel, 6:30 p.m. cocktails, 7:00 p.m. dinner.

No thanks, I will not be attending the networking dinner.

Yes, the following will be attending the networking dinner (enter full names):

1. 2.
3. 4.
5. 6.

Notes/Comments:
(max. 300 chars.)

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