Conference or Event Training Approval Application
Page 1
To translate the form into Spanish or another language (
Para traducir el formulario al español u otro idioma):
Open the form using Google Chrome web browser.
Download Chrome here.
(Abra el formulario con el navegador web Google Chrome.
Descarga Chrome aquí
.)
Anywhere on this form, right click and you will see a drop-down menu. (En cualquier lugar de este formulario, haga clic con el botón derecho y verá un menú desplegable.)
Select “Translate to …” (Selecciona "Traducir a ...".)
Choose the language you would like it to be translated to. (Elija el idioma al que le gustaría que se tradujera.)
Repeat steps 2-4 on each new form page. (Repita los pasos 2 a 4 en cada nueva página de formulario.)
Use this application if you are a professional development organization or entity and are requesting SEED approval for a "one-time" training such as conferences, institutes, or visiting speakers.
A. Contact Information
Name of Organization or Entity
Website
Daytime Phone
Fax
Coordinator
Email Address
B. Event Information
Title of Event
Location
City
Event Type
Event Start Date
Event End Date
Professional Event Description
Is the event affiliated with an organization?
Yes
No
Name of Organization
Target Audience (check all that apply):
Child Care Home/Group Home
Child Care Center
Early/Head Start
Pre-K/School District
School Age
Trainers
Parents/Families
Child Care Administrators
Approved Provider
Military
Tribal
Lead Teachers
Support Staff
Health, Safety, Nutrition Staff
Other
Other
Check all age groups for which this training applies:
Prenatal
Infant (birth through 18 months)
Toddler (19 through 36 months)
Preschooler (3 through 5 years, not in school)
School age (6 through 12 years)
Youth (13 through 18 years)
All age groups
Special Needs
Adult Learning
Administrators
Staff
Other
Other
*Total Event Hours (maximum of 15 hours):
(Excluding sessions opening and closing addresses, luncheon speakers, site visits, CPR training, and First Aid training).
Methods of Session Attendance
Methods to Document Attendance
Methods of Event Evaluation
*15 hours is the total maximum SEED-approved hours an individual can earn per conference.
Please attach the following:
A copy of the agenda or schedule
Copies of workshop session descriptions, if available
Acknowledgement & Signature
Trainer and training approval applications will be processed within 45 business days from the completed application receipt date.
Acknowledgement
I attest that the information provided above is true and accurate to the best of my ability.
Signature
Page 2
Instructional Plan for Conference or Event Training Approval Application
Please complete instructional plan below and ensure your plan covers all required components. Submit instructional plan with your completed application form.
Click
here
to see examples of how to complete an instructional plan for training approval.
Conference or Event Training Instructional Plan
A. Training Outcomes:
B. Learning Methods
(check all that apply)
:
Lecture
Audio/visual materials
PPT and/or handouts
Hands-on activities
Small and/or large group discussions or activities
Opportunities to ask questions
Reflection
Games
Demonstration
Other
Other
C. Assessment Tool
D. Evaluation Tool
E.
Alaska Early Childhood Core Knowledge and Competencies
(CKC)
F.
Alaska Early Learning Guidelines
(ELG) (If applicable)
Coordinator Agreement
As the Event Coordinator, you must agree to the following:
1. I have ensured that the sponsoring organization has a process in place to document participants' attendance and hours.
2.
I understand that participants can only accrue 15 hours of SEED-approved training hours for a conference/training event
, and that opening and closing luncheon addresses/speakers, site visits, CPR and First Aid training will not be included in the total clock hours of SEED-approved training.
3. Keynote speakers are subject to approval for training hours, and a workshop proposal form must be submitted with the Conference or Event Training Approval Application.
4. I understand that conferences are approved as one-time events, and that all future events must be submitted with the Conference or Event Training Approval Application.
5. I agree to include Alaska's Early Care & Learning Core Knowledge and Competencies/Standards in the Conference Proposal Forms (RFP).
6. I understand that not all conference hours may be SEED approved, and participants can only accrue a maximum of 15 hours.
I agree to the above statements.
Signature
Date
Applications will be processed in order of receipt within 30 business days.