Continuing Education Activity Plan Instructor’s Form

This form is to be completed by either the instructor or RID Sponsor and kept on file with the Sponsor form. The RID Sponsor will submit the completed Activity Plan online by logging in to their account at myaccount.rid.org prior to the start of the activity.

"*" indicates required fields

Presenter/Instructor Name*

Instructor Email*

Date(s)/Time of Activity*

Title of Activity*

Level of Participant’s Prior Knowledge of Topic:*

Little/None

Some

Extensive

Teaching

Target Audience*

Workshop/Course Description*

Educational Objectives*

(List specific measurable actions by participants that will demonstrate comprehension and integration of information presented)

Media/Materials*

(List the print, audio and visual materials you will use. Who is responsible for providing them?)

Evaluation & Assessment*

(Describe how you will evaluate student learning & presentation effectiveness.)

Upload Resume/Bio

If this is your first time working with Interpretek, please attach your resume/bio with this form

Max. file size: 32 MB.