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2017-2018 Flexible PIR Proposal Form
Before beginning, you may want to take a look at the PIR Proposal Planning Sheet to be sure you have all of the information you need: http://bit.ly/flex-pir-proposal-planning
Facilitator Information
Full Name(s)
Your answer
School or Agency
Your answer
Email Address
(If there are multiple presenters, please list only one email address.)
Your answer
Phone number
(All 10 digits, separated by hyphens, please)
Your answer
Session Information
Title of Session
(<50 characters, please)
Your answer
Description of Session
It is recommended that you compose your description in Word to take advantages of the spell-check feature as your course description will be copied and pasted directly from this form into the catalog. If this session is already in PIR eCentral, you may type "same as last year." Please check last year's description to be sure it doesn't need tweaks. If it does, please paste it into the field below and make those corrections.
Your answer
Content Standards the class will address.
Your answer
Category
Choose ONE subcategory
Interest Area (check all that apply)
Required
Grade-Level (check all that apply)
Required
Session Details
Date(s) and Times of meetings:

To accommodate staff needs, please feel free to offer your class between June 13th and April 28th outside of contracted duty time (i.e., evenings, weekends, summer). Sessions must be at least 2 hours in length, so your classes might be 2 hours in length for three sessions, 3 hours for two sessions, or 6 hours on a Saturday or summer weekday. Workshops/Study Groups MUST be 6 hours or more (total) in length.

NOTES:

* Full days must include a one-hour lunch.
* Each session must be two hours or more.
* All time must be on non-duty time (after 4:00 on a duty day or on non-duty days).

Date of Session 1
MM
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DD
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Start Time of Session 1
Time
:
End time of Session 1
Remember to add in one hour for lunch for all day sessions (7 hours in all).
Time
:
Date of Session 2 (if applicable)
MM
/
DD
/
YYYY
Start Time of Session 2 (if applicable)
Time
:
End Time of Session 2 (if applicable)
Time
:
Date of Session 3 (if applicable)
MM
/
DD
/
YYYY
Start Time of Session 3 (if applicable)
Time
:
End Time of Session 3 (if applicable)
Time
:
Date of Session 4 (if applicable)
MM
/
DD
/
YYYY
Start Time of Session 4 (if applicable)
Time
:
End Time of Session 4 (if applicable)
Time
:
BUILDING Location of Sessions
(It is up to you to reserve space for your PIR offering.)
Your answer
ROOM Location of Sessions
Your answer
Maximum Attendance (must be 20 or more)
(Study Groups can have a maximum of 10--remember to indicate it is a Study Group in Categories section above)
Your answer
Would you be willing to teach an additional section of this course if it fills and has a sizable waiting list?
(Date(s) for an additional section can be decided if you are agreeable and it becomes necessary.)
Would you be willing to teach this PIR online?
Before submitting, it is recommended that you print a hard copy of this page or save it as a .pdf to have a copy for yourself.
In Chrome: Ctrl + P - Next to "Destination," choose "Change" and then "Save as PDF"
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