Thank you for your interest in hosting a Traveling Workshop. Please fill out the request form as much as you can and the Traveling Workshop Coordinator, Pat Averbeck, will contact you within two days. If you have any questions, you can contact the coordinator at tw@amatyc.org or 425.640.1093.

Contact Information
Name of contact person:
Email address:
Phone number:
Institution:

Workshop Information
Which strand of Traveling Workshop are you requesting?
Beyond Crossroads		College Algebra (The Right Stuff)		Mathematics Across the Community College Curriculum (MAC3)
Statistics		Teacher Preparation		Technology
How long of a workshop would you like?
Half day	One day	Two day	Other:
What is the preferred date(s) of the Traveling Workshop?

Goals and Intended Outcomes
Please check all that apply with regards to the goals and outcomes of the desired workshop:
General team building		Departmental change		Systemic change		Accreditation Concerns
Curriculum development		Faculty development		Affiliate Conference		Interdisciplinary Collaboration
Please provide any additional information about the goals and outcomes of the desired workshop.