ULI Utica Learning InterchangeULI Utica Learning Interchange

Utica

Learning

Interchange

Request for Curriculum Specialist Form

Use the form below to request a curriculum specialist.

CONTACT INFORMATION



Preferred project dates: Day 1:
Day 2:
Day 3:
Preferred time slots:
Name of requested speaker:

AREAS OF INTEREST/NEED

Please check the topics below:
Science
Curriculum Design Social Studies
Data Collection Teaching ELL Learners
Language Arts Technology Assistance
Mathematics Writing
Other topics:

PRESENTATION DESCRIPTION/JUSTIFICATION

Be specific about the focus of the event:
How does this link to your school's action plan or cluster initiatives?:

PRESENTATION SPECIFICS

1. What will the expert do?
Make and take workshop
Workshops Staff Meeting
Other (be specific):
2. What equipment will be needed and available for visiting expert? Please check.
Internet connection
Other (please specify):
3. Please descibe the room/furniture setting:
4. Who will participate in the program? (in-service teachers, pre-service teachers, students, administrators, other)
 
Other (please specify):
5. How many participants do you expect?
6. Will the participants be in:
7. What materials or support are you willing to provide to assist the visiting expert in preparing for the sessions? (Provide an agenda, will set up the room, can make the copies, etc.):
8. What is the proposed program? If there are other speakers involved, what topics will they address?
9. What follow up is planned for this topic after the presentation/workshop?
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