Your name

Your email

Workshop you are interested in ? ( You can add more than one workshop)

Technology in PedagogyExperiential LearningBlended LearningCommunity Based Learning(ToT) Train the TrainersStrategies and techniques in STEM for expertsBody language for academicsDiversity, Equity & InclusionLeadership Negotiation skillsCustomer ServiceCritical ThinkingToT for Professionals

When do you plan to conduct this workshop to your team?

Who are your participants? (e.g., background knowledge, experience, interests, expectations about the course and how it is taught, etc.)

Approximately, how many participants do you expect you will have?

What kind of learning space are you hoping to have, or is available in your in your institution? (e.g., classroom, lab, fixed or movable furniture, flexible space, media equipment available, meeting room?)

Do you require support and follow up for your faculty members/ team after completing this workshop?

What delivery method are you looking for? online or in-person?

What are your goals for this workshop?

What are the desired outcomes of your faculty members/ team after completing this workshop ?

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