Onsite Professional Development Questionnaire
Thank you for your interest in our onsite professional development. Please answer the following questions to assist us with processing your request.
Contact Name *
Your answer
Contact Email Address *
Your answer
Contact Phone Number *
Your answer
District/School Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Requested Dates *
Your answer
Starting Time *
Time
:
Ending Time *
Time
:
Requested Topic(s): Primary Level
Requested Topic(s): Intermediate/Middle School Level
Requested Topic(s): Grades K-8
Role(s) of Participants *
Your answer
Number of Participants *
Your answer
Contact Information for Day of Professional Development
If different from above.
Your answer
Name and Address for Mailing Materials
You will receive a shipment from FedEx prior to the start of the training.
Your answer
Address of Training Location
If different from above.
Your answer
Professional texts are required as part of our professional development trainings. The district is responsible for purchasing the texts prior to the start of the training and distributing the text to all teachers. *
What time is lunch and how long will it be? *
Your answer
Will the district provide lunch or is lunch available close by? *
Your answer
Do you have a hotel recommendation?
Your answer
What is the nearest airport, train station, or ferry to the training location?
Your answer
Does your district require a contract agreement? *
If yes, we require five business days notice as our University's CFO is the authorized signer of all contracts.
Is the district currently working with Fountas & Pinnell professional books or classroom resources?
Please check all that apply.
Is the district currently working with Fountas & Pinnell Benchmark Assessment Systems?
Please check all that apply.
Is the district currently working with Fountas & Pinnell Leveled Literacy Intervention Systems?
Please check all that apply.
Other Fountas & Pinnell resources used?
Your answer
What reading and writing assessments do you currently use? *
Your answer
Is there any additional information that would be helpful for our trainers to know about the students or staff in your district/school?
Your answer
Our Center requires audiovisual equipment that will allow our faculty to present appropriately. They will bring their own laptops. Will the location of the training have audiovisual equipment (A/V projector or smart board and speakers) for the trainer to use during the presentation? *
We ask each district to provide round tables for particiapnts (or groups of tables and chairs) and sticky back chart paper for this training. Do you foresee any problems with this request? *
Is parking available at or near the training location? *
Your answer
Has the district or school taken professional development from Lesley University, Center for Reading Recovery and Literacy Collaborative before?
Please list all past professional development.
Your answer
Has the district or school taken professional development from other professional development centers (e.i Heinemann PD, Teachers College)?
Please list all past professional development.
Your answer
Purchase Orders must be faxed within 15 days to 617.349.8490 - Attention: Diane Tan
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