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Ready To Learn Workshop Summary

If you have conducted a Ready To Learn workshop, please complete the following form and submit it to our Family Literacy Coordinator, so that we may keep track of workshop successes, continue to obtain RTL funding, and assist you better in the future. If you prefer to print out and fax back this form, please go to the PDF version of the form. You must have Adobe Acrobat to view and print it.

(Note: Orange text denotes required field.)

Trainer's Name:
Trainer's Title:
Name of Organization Serviced:
Date of Training:
Title of Workshop:
Location of Workshop:
Number of people who attended:
Number of children they service:
Parents/guardians: >>>>>>
Child care provider
 
>>>>>>
Preschool educator
 
>>>>>>
K-3 educators: >>>>>>
Librarians: >>>>>>
Head Start/Even Start Professional
 
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Other:

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Do ANY of the children above have any disabilities? Yes         No
Are there ANY of these children ages 2, 3, 4 or 5 years old? Yes         No
Do ANY of these children live in rural areas? Yes         No
What languages are spoken in any of these homes?
Comments or Concerns

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