The Summer Institute Planning Committee encourages you to submit your idea for an Afternoon Program that you will lead at the Summer Institute. The leader of an afternoon workshop that meets Monday through Friday receives one campership. Two or more leaders may split a campership. Leaders of workshops that meet two or three times in SI week receive 1/2 campership. An electronic version of the form is also available for you to fill out, if you prefer. Questions about workshops should be directed to Jane Harkey at janeharkey [at] hotmail <dot> com.
Your Name:
Complete address:
Area Code & Phone Number:
Email:
Fax:
__ Early Afternoon - Intergenerational: 1:30 - 3:00 pm
__ Late Afternoon - Age Specific: 3:15 - 4:30 pm
Participants should bring:
If volunteers are needed, how many? - for what? - when needed?:
What are your space needs for this workshop? inside/outside, type of room, etc.
Do you need any audio/visual or other special equipment?
Please provide the following for the brochure:
A two or three line bio of the leader(s):
A two or three line description of the course:
Will you need materials to be copied? ______ If so, estimate amount:
When you have completed the form, send to
Click here to return to the OMDSI pages.