Workshop Leader Name (point of contact) *

First Name

Last Name

Workshop Leader Phone

(###)

###

####

Workshop Leader Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Computer/Projector Use *

The projectors at Hartnell College are set up for PC Computers and adaptors. If you will be using a Mac, please bring the appropriate converters. If you are not sure what to bring, please contact joyce@lyceum.org.

I understand my workshop should be designed to run 75 minutes. *

Have you taught this workshop before? *

Yes

No

Have you taught this workshop at EYH before? *

Yes

No