Workshop Planning Request

If you are interested in hosting an AIMS workshop, please fill out the following form and an AIMS workshop administrator will contact you. Filling out this form does not constitute a commitment to host a workshop.

Contact Info
Name of School/Host Agency: Required.
Email:	Required. Invalid format.	Confirm Email:	Required. Invalid format.
Name:	Required.	Title:	Required.
Phone:	Phone required. Invalid format.	Fax:	Phone required. Invalid format.
Mailing Address: Required.
City: Required.		State: Required.	ZipCode: Required. 5 digit zip only.

Workshops Info
One-Day Two-Day Three-Day Four-Day
Date 1st Choice:		Date 2nd Choice:
Content Areas:
Grade Span(s):		Number of Participants:

Content Areas:
Grade Span(s):		Number of Participants:

Submitting this form will send your selections to our Workshops Administrator who will contact you to discuss your workshop needs.