Professional Development Sessions/Workshops

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* 1. Does your institution have an ESL strategic plan or goals for all stakeholders involved?

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* 2. Approximately how many ESL students are in your district/institution? 

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* 3. In your opinion, is there a specific ESL related challenge or issue in your district that you believe should be addressed during the professional development session(s)?   
Please detail.

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* 4. Who is the intended audience? Check all that apply.

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* 5. What is the proposed date(s) for the professional development (PD)?
     

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* 6. What is the anticipated length of the professional development session(s)?

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* 7. Which format  are you requesting?

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* 8. How many ESL professionals work at your institution?

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* 9. Would you like a free 1 hour face to face Skype consultation?
     Please provide the following in the box below:
     Date: 

     Time: 
     Your location/ time zone:

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* 10. Please provide your contact information:
Name:
Title:
Institution:
Email:
Phone number:

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