Workshop Proposal Form for those Seeking to be Approved MHTC Presenters
Presenter Information: (Please include for each presenter)
Presenter/Facilitator's Name *
Mailing Address *
Telephone Number (cell/home or both)
Email Address *
Present Position: *
School District or Employer: *
Qualifications to be a Presenter: *
Describe your previous experience in: Presenting professional development *
Describe your previous experience in: Presentations at professional conferences *
Describe your previous experience in: Staff training that you have conducted *
Have you conducted professional development for another teacher center, if so please describe. *
State any specialized training or certification, as well as any recognition for your work relating to this topic *
Please attach a copy of your resume with current contact information. *
Required
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