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LADSE Professional Learning Activity Request
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This form is used to request training sessions for 10 or more people. Please submit at least two weeks before the presentation is needed.
Today's Date:
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MM
/
DD
/
YYYY
Your name:
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Your answer
Your email:
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Your answer
Title/topic requested:
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Your answer
District/School:
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Your answer
Preference for who presents this session (if applicable):
Your answer
Date preferences for session:
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Your answer
Target audience:
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Your answer
Approximate number of participants expected:
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Your answer
Explain the specific goal(s) of the training. What outcome(s) would you like for participants?
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Your answer
Amount of time available for this session:
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Your answer
Do you have a location already?
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Yes
No
Other:
If yes, where will the event take place?
Your answer
Contact person for this activity:
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Your answer
Contact email:
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Your answer
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