OPSRC Professional Learning Request
Please complete this form to give us a better idea of the content you are interested in. A member of the Teaching and Learning team will contact you within 2 business days to confirm the information and our availability.  **Please note that requests should be submitted at least 4 weeks in advance to ensure time for planning and preparation.  
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Requested Date for Training *
GG
/
AA
/
YYYY
Preferred Start Time for Training *
Please remember that your presenter will probably be traveling to and from your location the day of the training. Most of our workshops are designed to last for 90 minutes. 
Saat
:
School District *
If the requested workshop is for a specific campus, please include both the campus and the district name. 
Your Name *
First and last name, please.
Your District Role *
Your Email Address *
Phone Number  *
This should be a number where we can reliably reach you to confirm your request. 
Grade Level *
Please choose one option that will best fit the audience. 
Approximate Number of Participants *
Focus Topic *
Choose one topic. Specific content will be discussed in the followup conversation
What is your vision for this professional learning? *
What should participants walk away with?
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