Workshop Proposal Form

Date

First Name

Last Name

Mail or Campus Address

City

State

Zip

Email Address

Phone

Are you a USNH Faculty Member?

Yes

Please specify if above answer is yes

UNH

Granite State

Plymouth State

Keene State

Workshop Outline

Workshop Format

If other format, please describe:

Our workshops are held from 9:00am - 3:00pm for 6 hours of instruction. If you feel more or less hours are needed to teach this workshop,please indicate the number of hours:

Who is the target audience? (be specific, for example, "first-time supervisors," "social workers," "teachers," etc.)

Briefly describe the program:

Briefly outline the content covered:

What will participants learn or get out of the workshop that they can bring back to their job or profession? In other words, what outcomes can a participant expect?

Please draft a brief workshop description (descriptions are edited by our marketing director):

Is there a maximum number of students you would be able to teach in the workshop?

What is the max?

Is there a specific day of the week or month you are only available to offer this workshop? If yes, what/when is it?

Will any special facilities or equipment be needed, and if so, please describe:

Are there any items students must bring to class? Please note if they are Required or Suggested:

Any texts participants will need, other than class handouts? Please note if they are Required or Suggested:

About You

If you have not taught for UNH or PD&T before, please describe what you have taught, for whom, and to whom:

Please submit a file containing 3 references (Include Name, Title, Company/Org, Phone, and Relationship):

(Note: For those who have previously taught at UNH or PD&T, this is not required.)
One file only.
2 MB limit.
Allowed types: doc, docx, xls, xlsx, jpg, png, .

Please attach your resume

One file only.
2 MB limit.
Allowed types: pdf, doc, docx, xls, xlsx, jpg, png.

Please write a short bio on yourself:

Please add any Questions or Comments you may have:

Include a photo of yourself (for future reference on our site):

One file only.
2 MB limit.
Allowed types: gif, jpg, png.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Commonly Searched Items:

Workshop Proposal Form

Professional Development & Training