North Eastern Ohio Education Association
NEOEA Day: Friday, October 11, 2024	
 Essential Information Form
Please return to NEOEA, 6001 Landerhaven Drive, Suite D; Mayfield Hts., OH 44124-4190 by Friday, April 12, 2024. Send electronic entries to desk@neoea.org.

PLEASE PRINT OR TYPE. Be sure to include all registration information. Please be sure to account for the instructional time involved in the workshop, which does not include lunch, registration, or break time.

Program title (please keep it short, simple, and eye-catching):
	Initial program number (from confirmation notice):	
Topic(s) or problem(s) to be addressed:

Major intended learning outcomes:

Presenters’ names and brief summary of qualifications (lengthy biographies not required):

Program location (please supply street address):

Starting time:	Concluding time:	
Chairperson:	
Chairperson email address:	
Chairperson postal address:	

PROGRAM SUMMARY
Brief summary (100-150 words) of your program. The information provided here
is what members will see in the NEOEA Day catalog.

Attach an additional sheet if necessary.	
Amount of grant, if any, requested of NEOEA:	
Itemize or support grant amount requested, if any (attach additional sheets if necessary):

This form continues on the reverse.

NEOEA Day Essential Information Form, continued	

PROGRAM INFORMATION	
	Should this program be listed as open to minors 12 or older when accompanied by parent or guardian?	YES		NO		
Category (check one):
•	Leadership (knowledge we need in order to help our local associations serve their members better)
•	Personal (knowledge to help us in our daily lives, regardless of our job descriptions)
•	Professional (knowledge to help us be more effective on the job)	
This program is for educators of the 
following grade levels (N/A if not applicable):	

Curriculum area (for main listing): 	

Secondary area (if necessary for cross-reference): 	

	Arts	Environmental/Outdoor Education	Language Arts	Science
	Business Education	Foreign/World Languages	Library/Media	Social Studies
	Career and Technology Education	General	Mathematics	Special Education
	Classroom Management	Guidance/Psychology/Pupil Services	Multi-disciplinary	STEAM
	Early Childhood Education	Health/Physical Education	Music	Technology Applications	

INFORMATION PARTICIPANTS NEED FOR REGISTRATION (for publication in NEOEA Day catalog). Reservations are required, even if no registration fee is involved. NEOEA does not receive registration forms or fees.
			lunch included
Registration fee: $			no lunch break
			pack your lunch
	check one:		lunches available to buy on your own	
Participant should make check
payable to (NOT NEOEA):	
Send check and registration to:
(NOT NEOEA)	
Name of contact for further information:	
Email address for further information:	
Telephone number for further information:	
Registration deadline (not before September 20):	
Maximum number of participants your program can accommodate: 	

CONTACT INFORMATION FOR NEOEA OFFICE USE. Contacts may be necessary during the summer months. Please provide additional summer contact information if necessary.	
Name of additional contact:	
Email address:	
Daytime phone: 	Evening phone: 	
Address: