CPDU Application: SY 2021 - 2022
As an Illinois State Board of Education approved Professional Development provider, Ingenuity works alongside subcontracting arts organizations to ensure high-quality PD. Ingenuity accepts applications for CPDUs on a rolling basis and will work with applicants to determine a timeline for the submission and review of applications. Please submit the following form for consideration and notify Courtney Cintron at cmc@ingenuity-inc.org of your submission.
Basic Information about the Organization
Name of Organization
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Address of Organization
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PD Coordinator Name
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First Name
Last Name
PD Coordinator Email Address
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PD Coordinator Contact Number
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Basic Information About the PD Session
Title of PD Session
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PD Type (please select all that apply)
Workshop
Residency
Seminar
Teaching Observation
Virtual
In-person
Please list all proposed dates for this unique PD session. If not yet confirmed, please let us know the month(s) you are targeting.
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Location(s) of PD session. If not yet confirmed, please let us know when you plan to confirm a location.
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What is the duration of the PD session?
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Please exclude breaks
Who is the intended audience for your PD?
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PD Program Description
Please provide a high-level description of the PD Session.
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Please provide a session agenda with approximate times for each activity
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What are the overall session goals?
Describe Goal
Session Goal 1
Session Goal 2
Session Goal 3
Session Goal 4
Describe the specific activities, strategies, and methods you will use to accomplish the session goals.
Describe Activities, Strategies, and Methods
Session Goal 1
Session Goal 2
Session Goal 3
Session Goal 4
Qualifications of Facilitator(s)/Presenter(s)
Presenter(s) and/or facilitator(s) must have demonstrated credentials in the fields of arts education, educational pedagogy, leadership and advocacy, and/or culture, inclusion, and equity. Credentials may include: professional license, certificate, degree in the area of study, or at least 5 years of experience in the area of study. Please upload a resume/cv for up to 2 facilitators. ***Please provide a narrative response to following questions. If your PD session has multiple presenters/facilitators, please include all facilitators and their names in each of your narrative responses.
Name(s) of PD presenters/facilitators (please list all)
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Lead Facilitator 1: please submit resume/CV
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Lead Facilitator 2: please submit resume/CV
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Activity Summary
Please complete the Activity Summary form below and upload.
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