Webinar Request Form Submit a request for a webinar to be posted on the website and promoted. Submitted events should provide a professional growth and/or art educator collaboration opportunity. Please submit up to 1 month prior to requested date for Event & Webinar Teams to process your request. Requested dates are subject to approval.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 (NO PD hours) Requesting an Event Sponsored by IAEA WITH PD hours Requesting an Event for Information Publication Only (Not IAEA Sponsored) Audience* Statewide access (open to all educators, not just art educators) IAEA Members only Note, statewide access pd events will be published via ISBE's PD+ system, to reach a broader audience of educators.Is this a virtual meeting (typical zoom where all screens are viewable) or webinar (only presenter's screen is viewable)?* Meeting format Webinar format Name of Event* Date 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. 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 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 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. Δ