Please complete the following information regarding the workshop/activity you plan to offer:

  Event Name:

  Event Type (√ only one)

  Professional Programs

    Curriculum Development & Program Design

    Early Childhood & Child Development Activity

    Professional Opportunities Course (In-service)

    Review/Redesign/Restructuring of School Programs

    Education in the Workplace

    Professional Conference or Workshop

    Special Education Activity

   Event Description: 

    Target Audience: (√ one)   All Educators    Teachers K-12

   Teachers of     Other:

   Who is the REACH: (√ one)  Salisbury Twp. School District    CLIU#21 School Districts

  CLIU#21 and  CIU#20 School Districts

    Act 48 Hours         Flex Hours

  Cost to participants:  $

  Workshop Location: 

  Date(s) of Workshop:

  Start time: End Time: Lunch Time:

  Prerequisites: (if any)

  Instructor Name:   Title/Position:

  Submitted by:    Phone #:

Click below to submit this form at least two weeks prior to the start of the workshop.