MIP Workshop Form - League of Christian Schools

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)

First Last

Date of submission(Required)

Submission should be within one year of the workshop.

School Name(Required)

School Phone(Required)

Title of Workshop or Activity(Required)

Describe the Content of the Workshop.(Required)

Detail the Agenda, Objectives, Strategies and Activities of the workshop.

Name of Instructor / Presenter(Required)

First Last

Credential of Instructor / Presenter

Files Upload

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

Street Address City State / Province / Region ZIP / Postal Code

Date Workshop Begins(Required)

Date Workshop Ends(Required)

Total Instructional Hours

Please add the total hours of instruction. Do not include breaks, or meals.

Cost per participant

Please enter "0" if the workshop is free.

Your Email

Enter Email Confirm Email