Workshop Host Interest Form
Do you represent an organization that is interested in partnering with the Urban Affairs Coalition to offer one or more professional development workshops for youth ages 14-18 during the 2017 WorkReady program?

If you are interested in partnering with us, please complete the below background information and someone will be in touch with you in the spring.

Your Organization Name:
Your answer
Your Name:
Your answer
Your Phone Number:
Your answer
Your Email Address:
Your answer
Organization Website:
Your answer
What is the topic you would like to present?
Please briefly describe your topic and why you believe it would be beneficial for UAC's WorkReady participants.
Your answer
UAC Professional Development Workshops usually last approximately 2 hours. Would your topic be best delivered in one session or a series of sessions? Please briefly describe what you have in mind.
Your answer
Are you interested in conducting your workshop(s) with one classroom or multiple classrooms (could be concurrent or sequential)?
If you answered "multiple classrooms" please further describe your capacity, i.e. would you have multiple people who could deliver the same workshop to multiple classrooms of students at the same time (if so how many), or are you interested in delivering the same workshop to multiple classrooms on different dates (if so how many), etc.
Your answer
Below are potential workshop dates for summer 2017. Workshops will likely occur at Temple University. Please select all dates on which you would be available to conduct your proposed workshop(s):
If Friday mornings don't work, is there another day of the week that is usually better (typically we have workshops on Fridays, but there is the potential for other days)
Your answer
Any additional comments or questions?
Your answer
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