Request Form: Proposal for Professional Development Training

Page One

Please use this form to submit proposed events for listing on the Professional Development registration calendar at http://www.foothill.edu/staff/development/calendar.php. If you don't know the answer to any question, just enter: "I don't know" or skip it.

1. What is the name and title of the event presenter(s) or facilitator(s)?

2. What is your proposed title for the event?

3. What date do you want to schedule the event?

4. What time do you want the event to be held?

5. If known, list your preferred location for the event (NOTE: The event coordinator is responsible for reserving use of the room.):

6. What is the duration or length of this event?

7. Provide a description of the event in 50 - 250 words. If approved, this is the description that will be used to promote the event.

8. Will this event use any of the following?

	Webinar or videoconference
	Panel of presenters
	Hands-on computer use
	None of the above

9. What equipment will be needed for this event? (e.g., computer projector, internet connection, microphone)

10. Who is responsible for coordinating this event?

11. What is the email address and/or phone number of the person who is coordinating this event?