Teacher Training Workshop Proposal Submission

Please note: all fields marked with an asterisk (*) are required.

Please read complete proposal guidelines here: http://www.cercll.arizona.edu/events.php#call

1. Profession:

Profession:

2. Personal Information:

Personal Information: Name:
Affiliation:
Address:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

3. Target Audience Level:

Target Audience Level: Elementary School (K-6) teachers

Middle School (6-8) teachers

High School (9-12) teachers

High School and College (9-16) teachers

4. Topic Area of Workshop:

Topic Area of Workshop: Assessment Materials Culture/Literature Professional Development	Curriculum Technology Instructional Strategies Try a New Language
Other (please specify)

5. Format:

Format:

6. In what language will the workshop be conducted?

In what language will the workshop be conducted?

7. If the workshop will be given in English, in what language(s) are the examples given?
(write N/A if not applicable)

If the workshop will be given in English, in what language(s) are the examples given?
(write N/A if not applicable)

8. Could this workshop also be used as an immersion workshop for teachers?

Could this workshop also be used as an immersion workshop for teachers? Yes

9. Is any audio-visual equipment needed? If so, please specify:

Is any audio-visual equipment needed? If so, please specify: Internet access TV/VCR and monitor or screen Laptop TV/DVD and monitor or screen	Computer projector CD player Elmo/Overhead projector Flip chart
Other (please specify)

10. Please specify any software you plan to use:
(write N/A if not applicable)

Please specify any software you plan to use:
(write N/A if not applicable)

11. Preferred Semester:

Preferred Semester:

12. Workshop Title:

Workshop Title:

13. Please describe the content of your workshop, method of presentation, benefits to participants and whether significant background knowledge is required to benefit from the workshop.

Please describe the content of your workshop, method of presentation, benefits to participants and whether significant background knowledge is required to benefit from the workshop.

14. Please include an outline of the specific planned activities, and a detailed time schedule for each segment of the workshop.

Please include an outline of the specific planned activities, and a detailed time schedule for each segment of the workshop.

15. Please explicitly list the relevance of this topic to Arizona Academic Standards
(http://www.ade.state.az.us/standards/contentstandards.asp):

Please explicitly list the relevance of this topic to Arizona Academic Standards
(http://www.ade.state.az.us/standards/contentstandards.asp):

16. Please copy and paste the contents of your curriculum vita (CV) into this text box.

Please copy and paste the contents of your curriculum vita (CV) into this text box.