RID Workshop Form
Sponsor and Instructor Information
Email address *
Name of person completing form *
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Activity Title *
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Location of activity *
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City *
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State *
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Instructor(s) Name(s) *
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Instructor(s) biography (may email to cmp@alrid.org as attachment if needed) *
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Contact Person *
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Contact phone (information will be listed on RID website under workshop) *
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Contact email (information will be listed on RID website under workshop) *
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Website for event
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Who is the target audience? *
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Activity start date *
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DD
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YYYY
Activity end date *
MM
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DD
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YYYY
Activity start and end time (include all scheduled breaks) *
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Content Level *
Workshop Description *
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Educational Objectives (List specific measurable actions by participants that will demonstrate comprehension and integration of information presented) *
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Media/Materials (List the print, audio and visual materials you will use. Who is responsible for providing them?) *
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Evaluation & Assessment (Describe how you will evaluate student learning & presentation effectiveness.) *
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