VSDB Outreach Professional Development Request
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Email *
School Division
Phone number
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Date Professional Development Requested (if you do not need a specific date, please leave this blank)
Alternate dates?
What kind of presentation are you requesting? (you can select more than one)
Are CEUs requested?
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Who is the target audience?
How many attendees do you anticipate?
Do you have permission from the Director of Special Education/appropriate personnel to request this training?
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Time professional development requested (if you do not need a specific time, please leave this blank)
How much time can you spend on professional development?
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DHH: Please indicate which topic(s) you are interested in receiving training on. Outreach will contact you to plan specifics after submission of this form.
VI: Please indicate which topics you are interested in receiving training on.
Are you willing to use a pre-recorded presentation? (A certificate of attendance can be provided)
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Additional comments, questions, information:
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