Please provide us with a little more information. Fill out the form and hit the submit button.
(* denotes a required field).
Home Phone Number (999-999-9999): *
Your Title: *
Highest Degree Earned: *
Workshop/Course Title: *
Workshop/Course Description: *
Target Audience: *
Materials/Technology Needed: *
WORKSHOP-complete this section if you a proposing a workshop
What time of day do you prefer?
What day of the week do you prefer?
COURSE-complete this section if you a proposing a course
How many credit hours are being proposed?
1 credit hour(15 seat hours)
2 credit hours(30 seat hours)
3 credit hours(45 seat hours)
What method of delivery is being proposed?
Site Based(11 weeks)
Online(8 week module)
***If you selected ONLINE in the above question, YOU MUST complete a 4-week training called “Preparing to Teach Online” – CLICK THE BUTTON BEOW:
Please enroll me in the next PTTOL (online instruction) course.
Which semester is being proposed for delivery?
If a site-based course is being proposed, where is the course intended to take place?
Twin Oaks Center
If you are proposing a course, please download this Adjunct Data Sheet (PDF), by CLICKING HERE complete it and mail it to:
Regional Education Academy for Leadership
3033 West Jefferson
Joliet, IL 60435
Are you willing to work as a consultant within other districts?
Please add any additional information you feel is pertinent here: