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* Collaborating IAEA Contact / Role* Please indicate the IAEA leadership person or role you are working with in planning this event (list yourself if applicable).Alternate Contact Email Complete this field if you are requesting the event, but will not be the main contact.Not sure if your event will be eligible for Professional Development? Click here! for the PD Activity Planning Sheet to preview the questions and requirements. **this sheet is for planning only, you still need to complete this request formRequest 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) Audience* Open to any IL licensed educator, searchable in PD+ Art educators only (PD+ link provided at registration) Events open to any IL licensed educator will be published via ISBE's PD+ system, to reach a broader audience of educators.Event Category*Social / Meet-upExhibition / ShowWorkshopConferenceMuseumPresentationWebinar / Online LearningRetireeEarly Professional / StudentIs this event In-Person or Virtual?* In-Person Virtual Is this a virtual meeting (typical zoom where all screens are viewable) or webinar (only presenter's screen is viewable)?* Meeting format Webinar format Meeting format (hosted by the presenter / IAEA Leader): The IAEA Leader or Committee Chairperson should use the default IAEA Zoom link (on the quick links document). Webinar format (hosted by our Webinar team): The webinar team will host the virtual event and provide the link.Name of Location of the Event* Name of Event* Event Location Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Location where the event will take placeDate Start* MM slash DD slash YYYY Date End* MM slash DD slash YYYY Start Time* : Hours Minutes AM PM AM/PM End Time* : Hours Minutes AM PM 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: 256 MB, Max. files: 3. You can also submit images later after the event is approved. Reach out to [email protected] with questions.Maximum Number of Attendees*Registration Close Date* MM slash DD slash YYYY When would like to close participant registration?Price for IAEA Members*Price for Non-IAEA Members*Note, there is a minimum suggested $5 fee for PD events.Is this event sponsored or funded already? If you are not charging for the event, please note if the costs are covered through additional funding Virtual EventYou have selected a virtual event. If this is correct, please continue. Professional Development EventPlease 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 StandardsIL 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 StandardsLearning Forward StandardsSelect each menu to review each learning forward standard. You must select at least one standard.Professional Learning/Learning Forward Standards this proposal addresses: (must check at least one)* Equity Practices - Builds educators' understanding of the lived experiences and needs of the students, families, and communities they serve. Equity Practices - Contributes to improving students' access to learning by understanding how students' identities affect their lives and contexts for learning. Curriculum, Assessment, and Instruction - Builds educators' capacity to develop and implement policy guidelines on high-quality curricula to promote equitable learning opportunities for all students Curriculum, Assessment, and Instruction - Builds educators' capacity to select high-quality curriculum and instructional materials using established criteria. Professional Expertise - Builds educators' capacity to understand relevant content, professional, and performance standards. Professional Expertise -Builds educators' capacity to apply relevant standards and research to daily work. Equity Drivers - Builds educators' capacity to use professional learning to cultivate knowledge, practices, and beliefs around equity. Equity Drivers - Supports educators in implementing a process to foster inclusive professional learning experiences. Evidence - Builds educators' capacity to use data to plan, monitor, and assess professional learning. Evidence - Contributes to fostering a culture of transparency with data use. Learning Designs - Contributes to establishing educators' professional learning goals aligned with strategic priorities and identified needs. Implementation - Develops educators' capacity to understand research on change to support implementation of clients' professional learning. Implementation - Applies research on change to plan and lead the initiation and implementation of educators' professional learning. Equity Foundations - Contributes to establishing educators' policy that guarantees equitable access to professional learning. Equity Foundations - Enacts educators' professional learning system to dismantle barriers to student and professional learning. Equity Foundations - Builds educators' capacity to leverage professional learning to dismantle barriers to students and professional learning. Culture of Collaborative Inquiry - Supports practices that foster continuous improvement. Culture of Collaborative Inquiry - Builds educators' capacity to engage in continuous improvement. Leadership - Supports educators in articulating a vision for professional learning inclusive of all staff and aligned with strategic priorities and policies. Leadership - Adopts Standards for Professional Learning to plan, implement, and evaluate systemwide or school-based professional learning. Contributes to establishing educators' system-wide policy for professional learning. Resources - Contributes to designing educators' guidelines for allocating resources to support a comprehensive professional learning system. Resources - Contributes to prioritizing human, fiscal, material, technology, and time resources for systemwide professional learning. 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.EmailThis field is for validation purposes and should be left unchanged. 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