Workshop Planning Sheet

This workshop is a WBR.

Yes
No

Is the STAR NET Region IV Resource Specialist taking care of your workshop arrangements. *

Yes
No

Date completed (STAR NET Staff) *

Yes
No

Date Revised ( STAR NET)

Yes
No

This workshop is in collaboration with: *

If you have any questions, please contact them at: *

Email

Workshop Day(s) *

Webinar *

Yes
no

Webinar Day(s) *

Workshop/Webinar Facilitator *

Workshop/Webinar Title *

Presenter’s Name *

Workshop Location with Room #

Workshop Contact Name *

Workshop Room Fee *

Fax *

Email *

Presenter’s Fee *

Presenter’s Fee

$ /Day X Day(s) = *

$ /Day X Day(s) =

Presenter’s Fee Cost *

Travel (50 cents/mile or airfare; car rental/limousine service) *

Travel (50 cents/mile or airfare; car rental/limousine service)

miles round trip x .575 = *

miles round trip x .575 =

Travel Cost *

Hotel

tax *

(add tax) $ (Recommended Rate for this area)

Hotel Cost

Per Diem (Our State Rate is $28.00/day)

Per Diem Cost

Other Needs *

Yes
No

describe here

Equipment you need STAR NET to provide: *

Intended Audience (Check all that apply): *

Gateways Intended Audience (Check all that apply): *

May we videotape this session?

Yes
No

Participants Limited to *

Workshop Objectives *

Workshop Description *

Click here to enter text. *

Time Ordered Agenda (Required by regulatory agencies to provide credentialing contact hours - please do not include breaks in this agenda):

Click here to enter text. *

IELDS Rationale (Illinois Content Standards): Please include a sentence describing how you will address the Illinois Early Childhood Learning and Development Standards in your presentation. To review the IELDS, please visit: Early Learning Standards

Content Level (Please choose one.) *

Introductory Level 1: – Remembering/Understanding
Intermediate Level 2: – Applying/Analyzing
Advanced Level 3: – Evaluating/Creating

Brief Biography (Between 50-100 Words) *

Click here to enter text. *

If we want to purchase resources as door prizes, what books or other resources do you recommend that support your presentation?

Click here to enter text. *

Handouts you want to be copied must be received at STAR NET, Attn: Dinnia Cooper, 1000 S. Illinois St., Belleville, IL, 62220, or dcooper@sccroe50.org by If you have questions about your handout after it has been sent, contact Dinnia at 618-825-3968.

Special Request(s): *

Subscribe to STARNETIV.ORG Newsletter

Quick Links

ILLINOIS STAR NET

Quick Links

ILLINOIS STAR NET