Request Custom eMINTS PD | Programs

Request eMINTS custom PD services

Process

Complete and submit the online request form below.
An eMINTS staff member will contact you to discuss details for your request within five business days.
eMINTS will send a written summary of your request and how eMINTS proposes to meet your professional development needs for your review within three business days after discussion.
This summary form must be returned to the eMINTS office with an authorized signature no less than three weeks before the scheduled consultation or professional development service date.
Note: Any changes to the original summary of services, fees and expectations may incur additional costs.
For more information, contact the eMINTS National Center at emints-info@emints.org or (573) 884-7202.

Request form

Requests must be submitted and processed at least three weeks before requested training date(s).

Please complete the form below and press Submit button. You will receive both a confirmation webpage and an e-mail copy of the information submitted in your request form for your records.

* Indicates required fields

Request for eMINTS custom PD services
* District/organization
Federal ID #
* District/organization phone (include area code)
* Street address
* City
* State
* Zip
* Contact person's name
* Title/role in organization
* Contact's e-mail address
* Contact's phone (include area code)
* What areas of PD or consultation are you interested in receiving?
Partial-day workshops (may be combined to equal full- or multiple-day sessions) Multiple choices are allowed		Basic technology integration Classroom communication Inquiry-based learning/teaching Internet resources (basic) - searching, evaluating, using Contemporary literacy (Internet resources advanced) Microsoft® Excel® Microsoft® PowerPoint® Microsoft® Word® Online projects SMART Board™ (basic) SMART Board™ (advanced) Other
Multi-day workshops Multiple choices are allowed		Creating a comprehensive PD/technology plan (minimum 3 days) Digital Storytelling Camp (minimum 3 days) WebQuests (minimum 3 days) Websites (minimum 3 days) Other
* Dates requested Please list in order of preference		- Option 1 - Option 2 - Option 3
* Number of participants
Choose one option		Information inquiry only Credit card - Please call eMINTS office at (573) 884-7202. Do NOT send credit card information via insecure e-mail message. Purchase order (PO)
Accounting contact name
Accounting contact e-mail
Accounting contact phone
Please note any special accommodations required or additional information about your request.
* I understand and accept all policies detailed on this page and in the custom eMINTS program description. Please type your initials to indicate acceptance of these terms.

Reviewed April 11, 2008.