Events Request Form
Please send any questions to events@collaborative.org
Please insert your contact information
*
First Name
Last Name
Email address
*
example@example.com
Proposed Name of the event? Try to keep this short and direct; you can also recommend a subtitle.
*
Is this an event that CES has previously offered? Events that were offered more than 3 years ago may need additional information for our database.
*
Yes
No
If you answered yes to the previous question; does any of the information need to be updated?
Yes (you only have to complete the details that need to be changed)
No
What type of event are you planning?
*
Course
Workshop
Training
Presentation
Practicum
PLC
Panel
Symposium
Play Group
Conference
Indicate all times and dates this event will run
*
Registration Deadline (If different from the standard 1 week)
-
Month
-
Day
Year
Date
Event Description
*
Preferred Location
*
In-person
Online
Hyrbrid
Other
If online, will there be work that needs to be set up in our Canvas learning management system?
Yes
No
Other
Maximum number of registrants?
*
Number
If offsite or other, what's the name of the facility, room, and it's address?
If offsite, who is the on-site contact?
Grade Level
Please Select
Early Childhood
Elementary
Elementary/Middle
Middle/High School
High School
K-12
What grades does this event applies to? (Select all that apply)
K-12
EC
PK
K
1
2
3
4
5
6
7
8
9
10
11
12
Subject Area
Arts
Assessment
Assistive Tech
Blended/Personalized Training
ESL
Early Childhood
Facilitator Training
General
Health
History
Math
Music
Pedagogy
Phys. Ed
Reading
Science
Social Justice
Social Studies
Special Education
Technology
World Language
Other
Subject Area
Audience
Audience
Administrator
Board Member
CES Employee
Community Member
Curriculum Director
Early Educator
Licensure Candidate
Paraprofessionals
Parent/Family
Principal
Specialist
Student
Superintendent
Technology Director
Vendor
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Certificate Information
Complete this section if your event is offering credit or certificates. For examples of what the certificates look like to participants: https://tinyurl.com/4df4hdzr
Will this event offer any of the following certificates?
Professional Development Points/PDP or Credit Hours (must be a min of 10 hours of work/seat time)
Certificate of Attendance
Continuing Education Units (CEU)
Grad Credits
Other
The following information will populate on the PDP certificate provided to participants.
Indicate how many credits
Content Area
PDP Description
PDP/Learning Objective (What participants will learn)
Assessment of Learning (How participants will demonstrate their learning)
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Presenter Information
Presenter name, credentials, bio, and headshot. Find examples of ideal bios and headshots here: https://tinyurl.com/3vrucf9u
Primary Presenter
Primary Presenter Bio
Headshot of Primary Presenter (required if non-CES staff).
Browse Files
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If there are co-presenters, place their name here
Co-Presenter Bio
Co-Presenter Headshot
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Coupon Codes
Complete this section if you'd like certain attendees to register at a different price.
Do you need a coupon code?
Yes
No (You don't need to fill out this section)
What is the discount
Free
Half off
Registration Paperwork
Are registrants required to fill out additional paperwork?
Yes
No
Application deadline
-
Month
-
Day
Year
Date
Upload forms, documents, etc.
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Choose a file
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Private Events
If your event is private, we can make a token url that won't be available to the public.
Is this private event for a pre-selected group?
Yes
No
What group is this for?
Additional Information
Is there anything else you'd like us to know that wasn't covered in previous questions? Further questions and concerns can be sent to events@collaborative.org.
Any additional information you'd like to send to registrants in confirmation email? (Meeting links, physical and digital materials, etc.)
Note additional support you'd like or need (preparation, day of the event, tech, etc.)
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