Professional Development - Meeting Form
Complete form and forward your request to:
Jen - prysokj@copesd and Barb - lennonb@copesd.org
Email address *
COP ESD - 6065 Learning Lane Indian River MI 231-238-9394
Date of Session *
MM
/
DD
/
YYYY
Start Time of session *
Time
:
End Time of session *
Time
:
Contact Person/Cell Phone/Email address *
Your answer
Presenter Name/Cell Phone/Email address *
Your answer
Handouts/Materials will be provided by Presenter *
Number of Participants / Target Audience *
Your answer
Cost for Participants
Your answer
Registration on Courseware *
Session Description
Your answer
Food - check all that apply
Room Set Up Choices *
4/pod
6/pod
Classroom
Hollow square/rectangle
Solid Rectangle
Horseshoe
Chairs ONLY
Select One
Equipment Requested - select all that apply *
Required
Applying for SCECHs?
Cost for Room Use - Select ONE option below *
Submit
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