Request Form - Illinois Digital Educators Alliance Makey Makey Workshop

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Please fill out this form if you are interested in hosting a Makey Makey training in your area. Please note: We will do our best to find a trainer to cover all areas in the state, however we cannot guarantee. If you have questions ahead of time, please contact Lindsay Zilly, Director of Professional Learning at lzilly@ideaillinois.org.

First name of person requesting a workshop *

Last name of person requesting a workshop *

Email address of person requesting a workshop *

Phone number of person requesting workshop *

Organization, District or Chapter sponsoring workshop *

Location of requested workshop *

Address of requested workshop *

City, State *

Zip *

#1 preferred date of requested workshop *

YYYY

#2 preferred date of requested workshop *

YYYY

#3 preferred date of requested workshop *

YYYY

The workshop is required to be a minimum of 5 hours. Please provide the estimated time of day for the workshop or specify the exact time if available. *

a.m.

p.m.

Other:

A minimum of 10 participants is required to host a workshop with no more than 24 total. Please provide the number of expected participants. *

I will provide the listed consumable materials for the workshop. *

Please review the link regarding required consumable materials needed for this workshop: http://bit.ly/MakeyMakeymaterials

An IDEA staff member will contact you within 48 hours. Please let us know if you have any additional questions.

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