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 ( or Angela Miller (
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Name:   *
Email Address:   *
Phone Number: *
Title and Description of PD requested: *
Audience for PD:   *
Date(s) Requested: *
2 Full Days *
Format of requested PD: *
Limit on number of participants for PD: *
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.     *
Special Instructions for participants: (Example bring a device)     *
Presenters needs to conduct the workshop: *
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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