Title: RFP
Author: Linda Grunden
Company: Hewlett-Packard Company

NEOEA

North Eastern Ohio Education Association
NEOEA Day: Friday, October 11, 2024

➌ 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:
Emergency contact number for use on NEOEA Day:

NEOEA

North Eastern Ohio Education Association
NEOEA Day: Friday, October 11, 2024

➍ Program Expense Claim Form
If you are not receiving NEOEA funding, please ignore this form. Postmark by Friday, October 25, 2024, and return with your final report.

Program title: | Program number:
Chairperson:
Address:

Please note:
•	If a check is $600 or above, you must provide the payee’s Social Security Number or Tax Identification Number and mailing address.
•	Please enclose receipts or other documentation of expenses.

Payee: |
Address: | | |
| Street | City, State | ZIP
Amount: | | Recipient’s SSN or TIN (if required) |

Payee: |
Address: | | |
| Street | City, State | ZIP
Amount: | | Recipient’s SSN (if required): |

Total amount requested: $____________ (may not exceed the total NEOEA grant).

North Eastern Ohio Education Association
6001 Landerhaven Drive, Suite D, Mayfield Hts., OH  44124-4190
216.518.0200     desk@neoea.org

NEOEA

North Eastern Ohio Education Association
NEOEA Day: Friday, October 11, 2024

➎ Registration List (to be returned with the Final Report Form by October 25, 2024)
Program title: | Program number: | Page #___ of ___ pages

Name | Home address | Employed by | School building
1. | | |
2. | | |
3. | | |
4. | | |
5. | | |
6. | | |
7. | | |
8. | | |
9. | | |
10. | | |

NEOEA

North Eastern Ohio Education Association
NEOEA Day: Friday, October 11, 2024

➏ Final Report Form
Postmark by Friday, October 25, 2024; enclose your Program Expense Claim Form if NEOEA funding has been authorized.

Program title: | Program number:
Chairperson:
Address:

Total reservations received:	_______

Actual number attending:	_______

NEOEA nonmembers attending:	_______
(include nonmember fee checks)

Your evaluation of the program:
Summary of participants’ evaluations:
Your suggestions for next year:

Please include copies of your registration lists with this report form.

			
Date completed		Chairperson’s signature

North Eastern Ohio Education Association
6001 Landerhaven Drive, Suite D, Mayfield Hts., OH  44124-4190
216.518.0200     desk@neoea.org

NEOEA

North Eastern Ohio Education Association
NEOEA Day: Friday, October 11, 2024

➐	NEOEA Day Workshop Evaluation for Participants 

Program number: _______	Title: 	

1.	What did you like best about this program?

		
2.	How could the program be improved?

		
3.	What other program topics would be of value to you?

		
4.	How can we get more people to attend?

		
5.	Other comments or suggestions:

		

Certificate of Participation

This certificate of participation is presented to

_____________________________________________
(name)

for participation in workshop number ______, 

__________________________________________________________,
(title)

consisting of ___ hours of instruction, on NEOEA Day, October 11, 2024.

___________________________________
Chairperson/Presenter

Use of this specific form is optional, but a list of attendees providing this information is required.