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Dare to Dream in 2012 High School Student Leadership Conference

The Office of Special Education is sponsoring 8 regional Dare to Dream Student Leadership conferences that highlight the importance of student self-advocacy and leadership. Each conference features presentations from accomplished students and adults with disabilities who have demonstrated exemplary self-advocacy and leadership skills. Additionally, the conference program includes a variety of concurrent breakout sessions that provide conference attendees opportunities to gain insight into the transition and self-advocacy process. Students will also participate in workshops led by their peers who are developing their own self-advocacy and leadership skills. Parents are welcome to attend with their district. Workshop topics will include goal setting, self-discovery, student self-advocacy, and planning your future. The Student Leadership conferences have long been a positive and empowering experience for thousands of New Jersey’s students.

Priority registration is given to districts that have students presenting a breakout session or keynote presentation. Call Bob Haugh @ (609) 633-6431 if you need resource materials for developing a breakout session or have any other questions. There is no charge for the conference. Breakfast and lunch will be provided.

Please fill in all boxes below.

School name:
Contact Person:
Address:
	(optional)
City:
State:	Zip:
Phone:	( ) - ext:
Cell Phone:	( ) -
Email Address:

Is your school providing a keynote presenter? YesNo

If yes, what is the name of the presenter and topic (this information will be listed in the conference agenda)? Please note: The keynote is limited to 4 minutes in length. An electronic copy of the keynote must be mailed to Robert.Haugh@doe.state.nj.us two weeks prior to the conference date. If a copy is not received, the DOE reserves the right to cancel your school’s registration.

Is your school providing a 40 minute breakout session? YesNo

If yes, list the session name and provide a description for the conference agenda.

Number of Students attending (maximum 15 students; use 0 if none attending)

Number of Staff (maximum 3 staff; use 0 none attending)

Number of Parents (use 0 if none attending)

Special Accommodations Needed:

Comments:

Choose one of the following:

Location		Dates
Closed Mercer County College Conference Center, Trenton, NJ		May 1, 2012
Raritan Valley Community College Branchburg, NJ		May 4, 2012
Concordia Learning Center Jersey City, NJ		May 9, 2012
Richard Stockton College of NJ Pomona, NJ		May 17, 2012
*Rutgers University Busch Campus		May 21, 2012
Closed Middlesex County College Edison, NJ		May 24, 2012
Gloucester County College Sewell, NJ		May 30, 2012
Montclair State University Montclair, NJ		June 1, 2012

*Please note: This year’s conference at Rutgers University on May 21, 2012 will be targeted for the community of New Jersey high school students living with neurological disorders such as OCD, ADHD, Aspergers, Tourette Syndrome and beyond. If you are interested in attending this conference, please contact:

Melissa Fowler, Education Outreach Consultant mfowler@njcts.org
NJ Center for Tourette Syndrome & Associated Disorders, Inc.
T: 908-575-7350 F: 908-575-8699

Dare to Dream Conference Agenda (an individual conference agenda will be developed for each site)
8:30 – 9:00 Registration, Continental Breakfast & Student Networking
9:00 – 9:45 Keynote Presentations from Students for Students
9:45 – 10:30 Voices of Experience
10:30 – 10:45 Break
10:45 – 12:30 Breakout Sessions
12:30 – 1:30 Lunch (Provided) & Closing Remarks

Your students’ active involvement is vital to the success of each conference!

Please note: Clicking the submit button below will forward your registration to the New Jersey Department of Education. Your school is not registered for the selected conference date until you receive a confirmation email.

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