INSTRUCTOR  (Fields with * are required in order to get your proposal processed)

First Name:*

Last Name:*

School/Office:

Phone/Ext.:*

Credit Request: (Choose one type of credit only)

Flex (3 hours of Flex for every hour taught)

Hurdle (3 hours of Hurdle for every hour taught)

WORKSHOP

Title:

Weekday(s):*

Date(s):*

Time (start/end):*

Strand: (Check all that apply) (Click on a strand to see its description)

Teaching & Learning

Technology

Leadership Development

Personal Growth

Research & Planning

Why is this Workshop Needed?

Workshop Description:

Room Set Up:

Equipment & Technology:

Classroom

Computer (Instructor)

U-Shape

Computer (Participants)

Conference

LCD Projector/Screen/Shades

Meeting Table

DVD/VCR

Oval

Overhead Projector

Sets of Four

Teleconference

Other (Podium, Refreshments Table, Panel, etc):

Other: