MIP Workshop Initiation Form

To be used to initiate in-service activity with the Association and/or Member School/Center. Submit forms to LCS annually for proposed or needed in-service activity. **Include Agenda, Objectives, Strategies, Activities and Sign-in sheet with participants signature, name and email.

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Name of Initiator of Request(Required)
Submission should be within one year of the workshop.
Detail the Agenda, Objectives, Strategies and Activities of the workshop.
Name of Instructor / Presenter(Required)
Please upload a copy of the course agenda, sign in sheets with attendees signature and email, handouts, notes, certificates, or any other materials that may help us understand the training and the presenter.
Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB, Max. files: 10.
    Location of Workshop
    Please add the total hours of instruction. Do not include breaks, or meals.
    Please enter "0" if the workshop is free.
    Your Email
    Are you the Principal or Administrator of the school?
    Name of Principal or Administrator
    This field is for validation purposes and should be left unchanged.