Name Phone Department E-Mail Do you currently use Blackboard? Yes No What other types of technology do you use to support instruction? Why do you want to attend this workshop? How might this workshop fit with the Personal Development Plan you have established? If you are selected to attend this workshop, there will be a stipend of $250 for attending all five days, July 10-14. Are you available to fully participate in all five days, including an individual presentation on July 14th? Yes No
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