Contribution Proposal - Keep Indiana Learning

Interested in being a presenter for Keep Indiana Learning professional development? Share details about yourself and your presentation idea.
Are you an ESC staff member or ESC consultant?*
If unsure, please click "No".
Which ESC?*

Event Contributors

Please fill out all fields for each contributor that is part of the event. Additional Contributors may be added with the "Add Contributor" button.

Name	Has this person contributed to Keep Indiana Learning previously?	School/Organization	Title	Email	Upload Presenter(s) Headshot	Social Media List	Experience/Expertise on Proposed Topic (Limit 150 Words)	Bio (Limit 150 Words)	Actions

There are no Contributors.

Are you submitting on behalf of an Organization?*
If you are a school employee, or are unsure, please select no.
- Yes
- No
Please select your Educational Service Center below
What type of contribution?*
Presentations are 30 to 90-minute virtual live or OnDemand events. Social Media Events could include a Twitter chat, YouTube/Facebook live stream, Instagram takeover, etc.
What type of contribution?*
Workshops are in-person or virtual events longer than 90-minutes. Presentations are 30 to 90-minute virtual live or OnDemand events. Social Media Events could include a Twitter chat, YouTube/Facebook live stream, Instagram takeover, etc.
If Other, please explain:
Online Course Type*
If Other, please explain:
Workshop Length*
If Other, please explain:
Title*
Event Description as it Should Appear on the Website (Limit 300 words)*
This will appear on the website and in promotional materials. This should be your overall idea and not the description of an individual session within your whole event and should include a description of the experience the attendee will have.
Blog Summary / Description (Limit 150 words)*
This may appear on the website in blog lists and in promotional materials.
Learning Intentions*
Please list 2-3 learning intentions/objectives the presentation (and any series sessions) will provide for the intended audience.
In-Person or Virtual?*
Location*
Street Address City State / Province / Region ZIP / Postal Code

Will this event be a series?
A series event is 2 or more sessions that may begin or release on different dates and times, and are intended for the audience to be present in all parts.
- Yes
- No
Will this blog be a series?
A series blog is 2 or more posts that will publish on different dates, and are intended to be read in order.
- Yes
- No

Contribution Series Information

Series Session Title	Session Description	Date	Time	Your Time Zone	Is your date / time flexible?	Actions

There are no Sessions.

Blog Series Information
Configuration Required
Use the Nested Form and Summary Fields settings to choose the form and fields to display in this Nested Form field.
Estimated Date of Blog Final Draft Completion*
Blogs are published on Wednesdays and Fridays. We will assign a publication date based on your estimated date of completion and our publication schedule. We need your final draft 10 days before confirmed publication date.
Month
Day
Year
Estimated Date of Blog Final Draft Completion*
Blogs are published on Wednesdays and Fridays. We will assign a publication date based on your estimated date of completion and our publication schedule. We need your final draft 10 days before confirmed publication date.
Month
Day
Year
Date of the Event
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM
Your Time Zone*
Keep Indiana Learning is based in the Eastern time zone.
Is this date flexible?
- Yes
- No
Is there a fee associated with this event?*
- Yes
- No

Pricing Information

Member School District Cost	Non-Member School District Cost	Free for GEER School Districts?	Actions

There are no Prices.

How did you hear about us?*
If you were invited to complete this form, please share who invited you so we can thank them!
Name
This field is for validation purposes and should be left unchanged.

ContributionProposal