Workshop Planning Form

We need your input as we plan the workshop(s) you have requested. We cannot promise to meet all of your expectations in the short time we will be with you; however, we want to do our best to meet your needs.  Please submit your request six (6) weeks before your anticipated workshop date.

fields marked with * are required.

*How many hours of training are you requesting?
*Possible dates:

*What staff and how many would attend the training? (Enter a number in each section of grid that would apply; Give us an unduplicated count – put each person in one box only.)
K-3 4-8 9-12 Others
General education teachers
Special education teachers
Title I reading teachers
Educational Assistants
SLP's
School Psychologists
Principals/Asst. Prin.
Supervisors
Instructional Coaches

*List titles of supervisors:

Workshop Planning Form


*1. Why are you requesting this workshop? (Give specific reasons)


*2. What specific knowledge do you want your personnel to have at the end of the workshop?


*3. What specific skills do you want your personnel to have at the end of the workshop?


*4. What reading series is being used by your school?


*5. What spelling series is being used by your school?


*6. Does your district use primarilyinclusion,pull-out,combination?

*7. What reading intervention programs do you have available in your district in the areas of reading, language, spelling, and phonological processing?


*8. Does your district have an RTI plan in place? Yes No

Additional Comments:



*Person Completing Form: *Title:
*System/Agency: *Date:

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