Professional Development & Graduate Credit Request Form
The MRESC is dedicated to helping districts provide high quality professional development opportunities for teachers, administrators, and all other personnel. If you would like the ESC to consider providing a professional development program, presentation, or workshop for your district, the county, or region as a whole, please complete and submit this form to the ESC for review and consideration.
District * School * Position * Email *
Phone * Requested Timeline for Activity (Please Provide Preferred Dates/Times) * Type of Request * Are you open to staff from other districts attending the requested event? * Which of the following categories best describes your request? *
The following items (if available) will help ensure the ESC develops a proposal that is aligned to the requesting agency’s goals, objectives, and timeline: sample agenda, list of training goals/objectives, agency or firm website (I.E. The Marzano Research Laboratory, International Center for Leadership in Education), name of speaker, preferred format/length of training, ...
Description of Proposed Workshop, Presentation, or Desired Program* *
Attendee Demographics: Please provide the number of estimated attendees from each of the following categories.
Teachers Principal/Asst. Principal Principal/Asst. Principal Coaches Superintendent(s) Treasurers Board Members Bus Drivers Athletic Directors Other (please specify)
The following items (if available) will help ensure the ESC does not waste time researching programming options that are out of the reach of the requesting district: estimated budget, minimum/maximum per person fee; travel reimbursement availability and/or restrictions; ability to provide supplies; audio/visual support & equipment; willingness to make copies,
Available Budget and/or Other Fiscal Considerations Shelby County Districts Only: Debit the District’s PD Fund Balance to cover costs of this training.