A. Recommendations for Action(s) to be taken by CTA
(Please be specific and give rationale.)

If this recommendation requires fast tracking, check the FAST TRACK box below

FAST TRACK - Recommendation(s)

Rationale(s):

Continue with additional recommendations and rationale as appropriate, please number consecutively.

B. Brief Summary of Key Topics or areas discussed & actions taken which are of direct importance to CTA (please number consecutively.)

Note: If your report is on pending legislation, please refer to bills by number and author. A brief description of the bill, the groups position on the bill, and the position of CTA.

C. Emerging Issues (Topics you anticipate coming up in the near future)

D. For possible speakers please use "Speaker Database Form."

Other Instructions:

Attachments- Please forward any attachments by mail to: Liaison Program Coordinator. CTA, 1118 Tenth Street, Sacramento, CA 95814. (Note: you may also use alternative delivery such as scanning documents or faxing documents - fax number is (916) 325-9045).

Conference Request/Confidential Commentary All requests to attend a conference by virtue of your liaison assignment should be sent to - Liaison Program Coordinator (see e-mail address below). Confidential information and confidential commentary should be sent on a separate sheet and clearly labeled confidential Please e-mail to: Kburt@CTA.org

If you have any questions, please call the liaison program coordinator at (916) 325-1500.

Speaker Database Form

CTA is always looking for speakers and presenters for a variety of conferences and events. If you've attended an event where you heard someone special, please complete this form and submit it with your report.

Speakers Name:

Affiliation:

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Referral's Name:

Where was this person heard?

Topic:

How would you rate this person's performance? Check only one

Exceptional     Excellent     Good

What would be an appropriate venue for this speaker/presenter? (check as many as appropriate)

Good Teaching Conference

Human Rights - Equity Conference

State Council

Presidents Conference

Leadership Conference

NEA Event

Subject Matter Conference

Other

How would you define this person's delivery style? (check as many as appropriate)

Humorous

Inspirational

Motivational

Research Based

Informational

Other

What made this person's performance or speech special?

Comments: