Custom Workshop Form
Note: all information given will be posted on a public response page unless otherwise noted.

Your local County Office of Education in partnership with the CTAP Regional office, wants to help you develop customized technology professional development for your school site and/or district. Please completely fill out this online form and a CTAP County Lead will contact you within the next 5 business days regarding your request. Thanks for your interest!

Your name: (Required) not publicly displayed

Your email address: (Required) not publicly displayed

Your telephone number: (Required) not publicly displayed

Fax Number: (Required)

School District & School Site(s), if applicable: (Required) (not publicly displayed)

Billing Address: (Required)

Who is the target audience for this workshop/training/tech-demo? (e.g. Math teachers, K-3 teachers, etc.) (Required) (not publicly displayed)

Approximately how many people will need to attend this workshop/training/tech-demo? (Required)

Briefly describe the technology levels & abilities of the target audience: (Required) (not publicly displayed)

Briefly describe your workshop/training/tech-demo needs? (Be sure to include # of days, types of tech-applications, hardware, etc.) (Required) (not publicly displayed)

Please indicate the desired location of the workshop/training/tech-demo (e.g. school-site computer lab, county office of education, etc.) (Required) (not publicly displayed)

When (time of day) would you like the workshop/training/tech-demo to occur? (Required)

Possible dates for workshop/training/tech-demo(s): (Please provide a 4 week window for planning and ordering) (Required) (not publicly displayed)

Would you like to add course credit as an option for your educators? (Course credit is provided by Fresno Pacific University, Cost is $59 per unit and the responsibility of the registering educator) (Required) (not publicly displayed)

What funding sources will your school site or district be utilizing to pay for this customized workshop? (not publicly displayed)

Thanks for your interest in Customized Professional Development! This request will be forwarded to the appropriate County Lead and you should receive a response within the next 5 business days.


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