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Event Request Form
Event Request Form
Submit a request for an event to be posted on the website and promoted.
Submitted events should provide a professional growth and/or art educator collaboration opportunity.
Your Name (Requestor)
*
First
Last
Your Email
*
Alternate Contact Email
Complete this field if you are requesting the event, but will not be the main contact.
Request Type
*
Requesting an Event Sponsored by IAEA
Requesting an Event Sponsored by IAEA WITH PD hours
Requesting an Event for Information Publication Only (Not IAEA Sponsored)
Event Category
*
Social / Meet-up
Exhibition / Show
Workshop
Conference
Museum
Presentation
Webinar / Online Learning
Retiree
Early Professional / Student
Is this event In-Person or Virtual?
*
In-Person
Virtual
Name of Location of the Event
*
Name of Event
*
Event Location Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Location where the event will take place
Date Start
*
MM slash DD slash YYYY
Date End
*
MM slash DD slash YYYY
Start Time
*
:
Hours
Minutes
AM
PM
End Time
*
:
Hours
Minutes
AM
PM
Event Region
*
Northeast
Northwest
Central
Southern
All (statewide)
Event Description
*
Add Picture(s) to Better Publicize Your Event
Drop files here or
Select files
Max. file size: 50 MB, Max. files: 3.
Price for IAEA Members
*
Price for Non-IAEA Members
*
Note, there is a minimum suggested $5 fee for PD events.
Professional Development Event
Please complete the questions below to request PD hours. Requests must be submitted 14 days prior to the event. You will be contacted by
[email protected]
once your request has been received.
I understand that I or the presenter will be responsible for collecting sign in/out for PD Hours
*
Yes
Name of Lead Presenter
*
First
Last
Email Address of Lead Presenter
*
Number of PD Hours Requested
*
Please enter a number from
.5
to
50
.
*Please note: Keynote and meal breaks are not eligible for PD hours.
PD Event Overview
*
Provide an overview of your event or activitity.
Include a timeline of activities for this event.
Teaching Standards and Professional Learning Standards
IL Teaching Standard(s) Addressed (check all that apply)
*
Increases knowledge of school and district leaders who guide professional development
Improves student learning
Deepens content knowledge
Uses learning strategies appropriate to the intended goals
Organizes into learning communities
Research-based instructional strategies
Assessments
Collaboration knowledge and skills
Applies research to decision-making
Inclusive practices in the classroom that examines instructional and behavioral strategies that improve academic and social-emotional growth outcomes for all students, with or without disabilities, in the general education setting.
See the
IL Professional Teaching Standards
Learning Forward Standard(s) for Professional Learning Addressed (check all that apply)
*
Learning Communities: Continuous improvement and goal alignment
Leadership: Support for professional learning
Resources: Coordinate resources for educator learning
Data: Assess and evaluate professional learning
Learning Designs: Integrate theories, research and models
Implementation: Apply research and professional learning for long term change
Outcomes: Align to performance and curriculum standards
See the
Standards for Professional Learning
descriptions
Select at least one of the following criteria established for PD activities
*
Engages participants over a sustained period of time allowing for analysis, discovery, and application as they relate to student learning, social or emotional achievement, or well-being
Aligns to the licensee’s performance (evaluation)
Includes outcomes that relate to student growth or district improvement
Aligns to State-approved standards
Are college courses
Provide educators with training on the physical and mental health needs of students, student safety, educator ethics, professional conduct, and other topics that address the well-being of students and improve the academic and social-emotional outcomes of students
PD Content Description Part One: Relationship to Criteria
*
Describe the content of the PD activity as it relates to one of the criteria you selected above.
PD Content Description Part Two: Impact on Students
*
Describe the expected impact on student learning and/or well being.
PD Content Description Part Three: Connection to Standards
*
List specific
Visual Arts
or
Media Arts
standards addressed by the PD.
Name
This field is for validation purposes and should be left unchanged.
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