Form

Interested in scheduling Gizmo training?

Training Request Form for Ontario
Please complete this form and I will follow up with you regarding a training event.
Your First Name*
Your Last Name*
Email Address*
Phone number*
Position*

Teacher Department Head School Administrator School Board Coordinator Other
School Board*
Name of Building*
Address for workshop*
City*
Type of School*

Pubilc Catholic Private Not applicable
Type of Workshop*

Onsite (face to face) Adobe Connect Webinar (1 hour) Online Course (3 weeks, asynchronous) Not sure, please advise
Theme*

Science Math Science and Math
Level of Audience*

Elementary (Grades 3-6) Intermediate (Grades 7-8) Secondary (Grades 9-12) Teacher Candidates
Estimated number of participants
Date for workshop and start time
/ Month / Day Year
at
: Hour Minutes
Additional Date (optional)
/ Month / Day Year
Duration*

Full day* Full day (2x half day)* Half day (morning)* Half day (afternoon)* Afterschool/evening* I am not sure. Please advise.
_____________________________

*Note : There is an expense fee required for 1/2 day and full day workshops. You can view the fee schedule here .
I am aware there is a fee for some types of workshops*

Yes Please contact me to discuss this
Questions, comments, session goals...
Should be Empty:

Interested in scheduling Gizmo training?