Teacher Inservices

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Please submit a completed application at least three months in advance of event.

Fields marked with * are required.

Application Date* Date of Event* Length of Program (hrs)*
School Name* School Address* City*
State* Zip* County*
Contact Person* Home Phone (include area code) School Phone (include area code)*
Email* Have you ever attended a TMA in-service or workshop?
 Yes No
If so, please provide the theme/title of the workshop and the year in which it was held. What is the overarching goal or theme for your in-service?
(e.g. art & science)
Is there a particular gallery or special exhibition that you would like to view?
If you have any special requests for the agenda (e.g. time for a staff meeting), please list the activities and appropriate time needed for each.*
How many teachers will be attending?* What disciplines do they teach?*
Would you like a hands-on component? Would you like a catered meal?*
 Yes No  Yes No

Please enter the characters you see into the box below

Need more information? Contact the Resource Center at (419) 254-5076.

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