The Iowa Distance Learning Database

Iowa Public Television

 
Iowa Distance Learning Database


Iowa Public Television
 Iowa Distance Learning Database--presented by Iowa Public Television

Iowa Distance Learning Database
 Educational Want Ads

Special Events
Provider/Receiver Form

If you want to advertise to either provide or receive a special event over the ICN, please use this form to submit the information to the Iowa Distance Learning Database. Please submit a separate form for each special event.



Section I : Contact Information (required)

Please Check One:
I am providing a Special Event:
I want to receive a Special Event:
School Name:
AEA #:
Contact Person(s):
Phone:
Email:
 

Section II: Special Event Information
Event Title:
Event Description:
Grade / Age Level of This Event:
Time(s) We Would Like to Provide / Receive the Event (if known):
Date(s) / Semester(s) / Year We Would Like to Provide / Receive the Event (if known):
Students: How Many Will / Could Participate?:
Are There Any Prerequisites for the Students?
Presenter's Name:
Presenter's Experience / Credentials in this Area:
Additional Information:
(Deadline and other registration information):

Delete want ad by: (MM/DD/YY)

Questions about the Want Ads? Contact Kathy Borlin at 515-242-4173, 800-532-1290, or kathy@iptv.org

Problems with this form? Contact Iowa Distance Learning Database Webmaster.

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