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