Request Form

The WIDA Consortium welcomes your request for professional development. Use this form to request training or a workshop for your agency.  Feel free to browse through our offerings or customize your own.  In order to enhance the processing of your request, please be sure to include as much information as possible regarding your needs.

After submitting your request, you will receive a copy of of it via email as proof of receipt.  Someone will contact you within one business day to confirm and finalize the details of your professional development activity.

Bold fields are required.

FROM (Agency name):
Are you representing a WIDA State Educational Agency (SEA), e.g. State Department of Education or State Department of Public Instruction? Yes No
If "Yes" please Pick the SEA			None Alabama Delaware District of Columbia Georgia Illinois Kentucky Maine New Hampshire New Jersey North Carolina North Dakota Oklahoma Pennsylvania Rhode Island South Dakota Vermont Virginia Wisconsin
Contact:
First Name
Last Name
Phone
Fax
Email
Address Line 1
Address Line 2
City			AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ZIP
Type of Professional Development Needed:			Access Training W-APT Training Data Retreat Standards Implementation Other
If other, please describe:
Number of Participants:
Audience:			Teachers Only Administrators Only Teachers and Administrators Other
If other, please describe:
Desired Start Date(s):
First Start Date Choice:
Second Start Date Choice:
Third Start Date Choice:
Length of Workshop (Days)
WIDA will try to accommodate your first choice, but in the case of a scheduling conflict, please provide up to three potential dates that would work for you.
Special Needs/Accommodations:
Please note: The current rate for professional development is $2500 per day if you are a member of the consortium and $3000 if you are not a WIDA member. The fee includes travel expenses for the presenter as well as the presenter's fee, but the total cost may change depending on number of days, location, etc. Please contact us for a specific quote for your particular event. If you have any questions or need further assistance, please contact Mariana Castro, Professional Development Coordinator at (608) 263-3976 or at mcastro@wisc.edu