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SLSD 2019-2020 Academy Workshop Proposal
Thank you for your interest in offering an Academy Workshop for the 2019-2020 school year. This form is to be completed if you are proposing to offer an Academy Workshop that will be made available in CPE Tracker for SLSD Staff. Your audience may be targeted (ie, K-12 all teachers; 4-6 Math Teachers; 7-8 Teachers), but should not be limited to specific individuals.
I am *
Event Name *
What is the title of your Academy Workshop?
Your answer
Target Audience *
Your answer
Description *
Your answer
Materials *
Your answer
Location *
Your answer
Instructor(s) Name: *
Your answer
Registration Type *
Indicate whether this is open to anyone at SLSD or is for a targeted audience
Maximum number of Participants *
Please indicate the number of maximum participants. If no maximum, please indicate "unlimited."
Your answer
Start Date *
MM
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DD
/
YYYY
End Date *
MM
/
DD
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YYYY
Start Time *
Time
:
End Time *
Time
:
Number of Academy Hours *
Your answer
Central Office Administrator to whom you believe the topic aligns: *
To which Professional Development Focus Area(s) do you believe this workshop would be associated? *
Check all that apply
Required
Workshop Responsibilities *
I understand that by offering this workshop, I will be responsible for securing a sign-in sheet, ensuring all participants sign-in at the time of the workshop, and sending the completed sign-in sheet with my signature to Maggy Michel, Curriculum/Technology Secretary, at the conclusion of the workshop.
Required
Name of Person(s) Submitting Request *
Your answer
Email address *
This will be used to send you a copy of your responses
Your answer
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