Workshop Facilitation Request
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Your/Coordinator's Name: *
Your/Coordinator's e-mail address: *
Department: *
Workshop title: *
Approximate number of TAs expected to attend this workshop: *
Number of new TAs? Number of returning TAs?
Date for the requested workshop:
(If this is a multi day workshop please mention this in the space below this question)
MM
/
DD
/
YYYY
Dates for the day 2, 3, etc of the workshop (if applicable):
Duration of the workshop: *
(Note: The workshop duration should be minimum an hour)
Hrs
:
Min
:
Sec
Start and End time(s) for the workshop: *
Format for the workshop: *
Required
Will anyone from your department be co-planning and co-facilitating this session with a CTLT facilitator? *
(Note: for guidelines around co-facilitation with CTLT visit: http://goo.gl/mnN9sn)
If yes, please provide the name and the e-mail of the person who will be co-planning and co-facilitating this workshop:
Learning Objective(s) for this workshop: *
By the end of this workshop TAs will be able to ...
Are you requesting to have this workshop take place at CTLT?
(note: this depends on room availability)
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If you have a room booked for this workshop please provide the building name and room# below:
(Note: please also book the room for 30 minutes before and 30 minutes after the duration of the workshop for the facilitator to set up and clean up. And if you want to book another session before or after this session, please leave a 15 minute break)
Do you want CTLT to help you order catering for this event?
(Note: CTLT will only offer catering support for workshops that take place in our CTLT offices)
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If yes, how much budget do you have for the catering for this event?
Other things you want us to know about this workshop:
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