Thank you for your interest in conducting an event within your district.  To better serve your need, please take a few moments to fill in the following form. 

*First Day of Event:  mm/dd/yyyy
*Last Day of Event:  mm/dd/yyyy

*Times of Event: 8:00 AM - 3:00 PM 8:30 AM - 3:30 PM 9:00 AM - 4:00 PM

Please Double Check the Dates and Times above above!

*School/Organization Name: 
*District Name:
*District Billing Street Address:
*District Billing City:
*District Billing State:
*District Billing Zip code:
*District Website:

*Contact Person:
*Contact Person’s Job Title:
*Contact Person’s Phone Number:   555-555-5555    ext.
*Contact Person’s Cell Phone Number:  555-555-5555
*Contact Person’s E-mail:

If appropriate...
Second Contact Person:
Second Contact Person’s Job Title:
Second Contact Person’s Phone Number:   555-555-5555    ext.
Second Contact Person’s Cell Phone Number:  555-555-5555
Second Contact Person’s E-mail:

If neither the Contact nor the Second Contact is the District/Building Technology Director, please fill in the following...
Technology Director:
Technology Director's Phone Number:   555-555-5555    ext.
Technology Director's Cell Phone Number:  555-555-5555   
Technology Director's E-mail:


*Will the District/Building Technology Director be available during the event?  Yes No

*Type of Event:  Technology Integration Workshop Events with SMART Technologies Microsoft Office Workshop Event Audacity (Podcasting Software) Workshop Event Custom Event: Include detailed information in the last question box below.

*Location of Event:
*Location of Event Street Address:
*Location of Event City:
*Location of Event State:
*Location of Event Zip Code:

*Number of Participants:    For participant limits, please review our training options from our Services Page at www.eagleti.com
*Subjects/Type/ Grade Levels of Participants:
 

*Is Lunch Provided?  Yes No
Lunch should be provided to establish a working-lunch environment for the event.
 

If a your event integrates SMART Technologies...
        How many SMART Board^TM Interactive Whiteboards are available?   
            Please remember that your Teacher to Board Ratio must be 3 to 1 or lower. 

        Explain the set-up of the Training Room and Break-Out Sessions Rooms:
        How are they located in relationship to each other?
       

        Will a computer lab be available for potential afternoon training? Yes No
        If yes, how is the computer lap in relationship to the training area?
       

Any questions for me?  Or any additional information regarding your event.