THE TEACHER CENTER of Broome County
Workshop Proposal Form 2007 - 2008
We are always looking for teachers to share their great ideas and skills with other teachers. If you would like to propose a workshop that you feel would be beneficial to other teachers please fill in the form below and submit it electronically. All proposals are reviewed by the TC program committee and if your proposal aligns with the identified needs and goals for the current year you will be contacted.
First Name
Last Name
School District
School
Home Address
City
State
Zip Code
Telephone (Work)
Telephone (Home)
Telephone (Cell):
FAX
E-Mail Address
ggg
Co-Presenter's Name:
District:
School:
Home Address:
City
State
Zip Code
Telephone (Work):
Telephone (Home):
Telephone (Cell):
FAX:
E-mail Address:
ddd
Please list two references below who are familiar with your presentation style. Please provide name, address, phone, e-mail for each reference.
References:
Title of Presentaton
Site of Workshop: (Will you be presenting this workshop in the Teacher Center's classroom or at a school site?)
Workshop Length:
1.5 hours
2 hours
3 hours
4 hours
Other
Level of Workshop:
Basic
Intermediate
Advanced
Here is the link to a list of the NYS Learning Standards
NYS Learning Standards
List below the NYS Learning Standards that this workshop will address.
Who is your target audience? (Specific type of background knowledge and/or experience desirable)
Workshop Description with Objectives:
Have you presented this type of workshop before?
Yes
No
Equipment Needs: Please check off any equipment that you will need. Handouts are the presenter's responsibility. The Teacher Center can have copies made for you free of charge as long as we receive them one week prior to the workshop date.
overhead projector
laptop computer
screen
flipchart/easel
TV & VCR
multimedia projector
Other
Thank you for submitting a Workshop Proposal. We will acknowledge the receipt of your information via e-mail. If your workshop is selected you will be contacted by the Teacher Center program assistant so that a date and time for the presentation can be arranged.
This form created at
http://www.formsite.com/