Request Educator Workshop

Full Name of the Requester (*)

Email of the Requester (*)

Work Number/ Cell Number of Requester (*)

Name of the organization/group that ING-Midwest would be presenting to (*)

Address where the presentation would take place (*)

State (*)

City (*)

Number of expected audience members (*)

Type of audience (*)
---Elementary EducatorsMiddle School EducatorsHigh School EducatorsAdministratorsOther

Preferred workshop Start time (*)
---07:00 AM07:30 AM08:00 AM08:30 AM09:00 AM09:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM01:00 PM01:30 PM02:00 PM02:30 PMOther

Preferred workshop end time (*)
---12:00 PM12:30 PM01:00 PM01:30 PM02:00 PM02:30 PM03:00 PM03:30 PM04:00 PM04:30 PM05:00 PM05:30 PM06:00 PM06:30 PM07:00 PM07:30 PM08:00 PM08:30 PM09:00 PM09:30 PM10:00 PM10:30 PMOther

Requested date of Workshop (*)

Any comments or request?

Select from the lists below all the modules that you are interested in
Select one or more of these BASIC Modules (20-30min):
Building a Comfort ZoneThe World in the Classroom

Select one or more of these CORE Modules (40-80 mins):
Basic Beliefs and Practices of IslamGeography: Maps and the Name GameHistorical Issues in Teaching about Islam

Select one or more from EXTEND CORE & CROSS CURRICULAR Modules (40-80 mins):
Contemporary Hot-Button IssuesElementary Classroom ActivitiesIslam in the MediaSeven Centuries of Islamic Spain in EuropeThe Indian Ocean in World History

Select three form these MINI Modules (20 min):
The Story of Classical Knowledge and Its Transfer to EuropeAcross the Eras into Your Shopping Cart: global cash crops and world historyTeaching through the Prism of Travel AccountsImages of the Orient: Nineteenth Century European Travelers to Muslim LandsFabulous and Familiar Fabrics: Calico, Bandanas, Jeans, Khaki and CashmerePaper Trail: Transfer of Paper-making Technology and Its ImpactArts of the Renaissance: Islamic Influence in Ceramics, Carpets, Glass, and Metalwork

Would you be able to provide a presentation projector for our laptop (*)
---YESNO

If so, what type of port does the projector have? VGA port, HDMI port, or both (*)
---HDMIVGABOTH (HDMI, VGA)I don't Know