TEACHER WORKSHOP PLANNING

Deadline for submission of this form is December 1, 2002

Your Email Address
Identify all teacher coordinators involved
WorkshopTopic
Workshop Description
Location (teachers are to secure a location)
Number of teachers you plan to have attend your workshop

Budget
Books and Materials
$
Speakers Honoraria
1st speaker
$
2nd speaker
$
3rd speaker
$
Lodging for Speakers
First speaker
$
Second speaker
$
Third speaker
$
Substitute salary
First coordinator
$
Second coordinator
$
Third coordinator
$
Fourth coordinator
$
Mileage for coordinators
First coordinator
$
Second coordinator
$
Third coordinator
$
Fourth coordinator
$
Food for brunch or lunch
$
Preliminary Planning Meeting Expenses (if necessary)
Mileage 1st coordinator
$
Mileage 2nd coordinator
$
Mileage 3rd coordinator
$
Mileage 4th coordinator
$
Coordinator Meals (at planning meeting)
1st coordinator
$
2nd coordinator
$
3rd coordinator
$
4th coordinator
$
Grand Total
$

Contact with potential speakers (list whether contact has been made and in what manner -- by phone, in writing - and indicate whether they have agreed)

Do you have a map of the location and parking for the workshop for mailing to potential attendees?

yes
no

Have you made plans to meet with individuals on site on the day of the event before it gets started?
yes
no
Indicate what evaluation measures you will use (i.e. a questionnaire or a pre and post test or some other evaluation device of your own creation).