NHSLMA Roundtable Proposal
Any NHSLMA member can propose hosting a roundtable by completing the questions below. After the board approves the request the event will be posted on the NHSLMA website so members can register for the PD opportunity.
Name
Your answer
Your Title & School Name
(ie. Library Media Specialist at Jane Doe Elementary School)
Your answer
How do you want to be contacted for further questions from either the board or participants? *
Your answer
Event Title
Your answer
Event Description: What participants will learn, do, goals, etc.
Your answer
Which AASL Key Commitment does this activity support? *
If more than one applies, please select the one that best represents the focus of the activity.
Proposed Date
MM
/
DD
/
YYYY
Start Time
Time
:
End Time
Time
:
Ideal Registration Deadline Date
In order to best coordinate the workshop, food, and other resources, by which date do you need to know registration information?
MM
/
DD
/
YYYY
Number of CEUs Requested
Your answer
Maximum Number of Participants
Your answer
Location
Your answer
Parking Information
Your answer
What should participants bring?
Your answer
Event Food and Drink Requests
NHSLMA will consider reasonable reimbursement requests for food/drink/snacks.
Your answer
Additional information not included above
Your answer
List any questions you have for the NHSLMA Board.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.