JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Application for Course Writer Professional Learning Community
Thanks for applying to participate in the Course Writer Professional Learning Community (PLC)!
We are looking for a range of perspectives and people to participate in this community. Please review the requirements for participation on the
PLC website
before applying. There are 15 spots available for this PLC and there is no fee to participate.
This cohort will run from June-December 2023. More information about the format of the PLC is available on the
PLC website
.
Participants will earn Develop credit for their participation.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Develop ID
*
Your answer
Phone number
*
Your answer
Are you an approved Course Writer?
*
Yes
No
If you are not an approved Course Writer, have you taken the MN Course Writer Orientation training?
Yes
No
Clear selection
In 30 words or less, what do you hope to learn by participating in this PLC?
*
Your answer
What is your ethnicity?
Hispanic or Latino
Not Hispanic or Latino
Clear selection
What is your race?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Multiracial
Clear selection
Do you deliver trainings in languages other than English?
*
Yes
No
If you write courses in languages other than English, please list them here.
Your answer
Do you work with a tribal community?
*
Yes
No
In what geographical region of the state do you live?
*
Northeast: Aitkin, Chisago, Carlton, Cass, Cook, Crow Wing, Isanti, Itasca, Kanabec, Koochiching, Lake, Mille Lacs, Morrison, Pine, St. Louis, Todd, and Wadena
Metro: Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington
Northwest: Becker, Beltrami, Clay, Clearwater, Douglas, Grant, Hubbard, Kittson, Lake of the Woods, Mahnomen, Marshall, Norman, Otter Tail, Pennington, Polk, Pope, Red Lake, Roseau, Stevens, and Traverse
Southern: Blue Earth, Brown, Dodge, Faribault, Fillmore, Freeborn, Goodhue, Houston, LeSueur, Martin, Mower, Nicollet, Olmsted, Rice, Sibley, Steele, Wabasha, Waseca, Watonwan, and Winona
West/Central: Benton, Big Stone, Chippewa, Cottonwood, Jackson, Kandiyohi, Lac qui Parle, Lincoln, Lyon, McLeod, Meeker, Murray, Nobles, Pipestone, Redwood, Renville, Rock, Sherburne, Stearns, Swift, Wright, and Yellow Medicine
In which Region(s) do you deliver training? You may select more than 1.
*
Region 1: Kittson, Roseau, Marshall, Pennington, Red Lake, Polk, Norman
Region 2: Beltrami, Clearwater, Hubbard, Lake of the Woods, Mahnomen
Region 3: Aitkin, Carlton, Cook, Itasca, Koochiching, Lake, St. Louis
Region 4: Becker, Clay, Douglas, Grant, Otter Tail, Pope, Stevens, Traverse and Wilkin
Region 5: Cass, Crow Wing, Morrison, Todd, and Wadena
Region 6E: Kandiyohi, McLeod, Meeker, and Renville
Region 6W: Big Stone, Chippewa, Lac qui Parle, Swift, and Yellow Medicine
Region 7E: Northeast: Chisago, Isanti, Kanabec, Mille Lacs, and Pine
Region 7W: Benton, Sherburne, Stearns, and Wright
Region 8: Cottonwood, Jackson, Lincoln, Lyon, Murray, Nobles, Pipestone, Redwood, Rock
Region 9: Blue Earth, Brown, Faribault, LeSueur, Martin, Nicollet, Sibley, Waseca, and Watonwan
Region 10: Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Rice, Steele, Wabasha and Winona
Region 11: Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, and Washington
Required
I have reviewed the schedule for this PLC that runs from June-December 2023. I will commit to completing 2.5 hours of work for this PLC each month and attend the Zoom sessions to the best of my ability. I understand that if I do not attend the Zoom session for that month I will not receive Develop credit.
*
Yes
No
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of University of Minnesota Twin Cities.
Report Abuse
Forms