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Bilingual/ESL Service Contract Request

TITLE of professional development training:
DATE(S) for professional development training session(s):
Type of AUDIENCE: For example: General Education, special education, teachers, paraprofessionals, related service staff, grade level, department, etc.
Name of the contact person:
Title of current position:
Contact Email Address:
Confirm Email Address:
Contact Phone Number:
What is the start and end time for the training session being provided? For example: Full day 8:30–3:30 Half day 8 – 11:30 or 8:30 – 12:00
Cost for Professional Development training:
If your district is a member of the BESL Cooperative, would you like to credit this service to one of the co-op days?

What LOCATION will the training occur?
AV Equipment/Set up (Check those that you can provide)

Number of Participants To plan for the handouts
Other materials needed or purchased: Is there anything else that we have not discussed that you want us to be sure and address?
Carolina Gonzales, Coordinator III
(210) 370-5483
Leanne Hayes, Operations Assistant
(210) 370-5474
Justin Boyd, Consultant
(210) 370-5647
Maggie Mae De Los Santos, Consultant
(210) 370-5307

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