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Application to Present Professional Development
Please fill this form out if you are interested in presenting Professional Development for the Guy Fenter Education Service Cooperative. For questions contact: Cristin Oberman (
cristin.oberman@wscstarfish.com
) or Angela Miller (
angela.miller@wscstarfish.com
).
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Name:
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Your answer
Email Address:
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Your answer
Phone Number:
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Your answer
Title and Description of PD requested:
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Your answer
Audience for PD:
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K-12
K-2
K-4
K-6
3-6
4-8
6-8
7-9
9-12
7-12
Pre-K
Required
Date(s) Requested:
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Your answer
2 Full Days
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Full Day (6 hours)
Half Day (3 hours)
Other:
Format of requested PD:
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Face to Face
Virtual
Both
Limit on number of participants for PD:
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Your answer
Describe your knowledge of the PD content that you are requesting to present, what instructional strategies you will use to engage adult learners, and what are the desired outcomes of this PD.
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Your answer
Special Instructions for participants: (Example bring a device)
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Your answer
Presenters needs to conduct the workshop:
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Your answer
Presenter will be required to fill out a W9 form and submit and invoice for payment; GFESC rate is $400 for full day (6 hours) and $300 for half day (3 hours); Each workshop must have more than 10 participants registered in order for it to make; Any information needed by the participants needs to be emailed to them prior to the workshop.
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Yes - I accept these terms
No - I do not accept these terms
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