Small Group Workshop Proposal Form

Please fill in all fields of the Workshop Proposal form and click the Send button when done.

Workshop Title(Required)

Workshop Leader: Your Name(Required)

Email(Required)

Phone(Required)

Proposed Workshop Times (10am-Noon or 1pm-3pm)(Required)

Number of Sessions(Required)

1 – 9

Ongoing (10 or more)

Other (describe below... example: Field Trip)

Description if "Other" chosen for "Number of Sessions"

Type or Style of Workshop:(Required)

Lecture

Lecture & Discussion

Discussion with a leader or rotating leader

Discussion without a leader

Other (describe below)

Description of "Other" chosen for "Type or Style of Workshop"

Description of Workshop (List any materials needed or supplies for purchase)(Required)

Leader's biographical information(Required)

Please include biographical information and your qualifications for leading this workshop. Also, please send us a photo of yourself to use in our promotion of your workshop. Send us your photo by email to srs@srsedc.org. By sending us your photo, you give us permission to use your photo in the promotion of your workshop.