PSMS 278 Career Day Guest Speaker Registration Form (2019-2020)
Thank you for planning to speak at Career Day. Please fill out the form below to register for Career Day on Wednesday, January 29th, 2020.
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Contact Information
Name *
First and Last Name
Primary Phone *
Email *
Address *
Job Title *
Company/Employer *
Job Description / Bio *
Tell us about your background, education, interests, and career (limit 200 words).
Guest Preferences
Speaking Schedule *
Please indicate in the check boxes below Full Day, Half Day, or the specific periods of time you are available. Speakers will only be scheduled for the number of sessions requested and if you indicate “available” for back-up support. Indicating your full range of availability between 8:00 am and 2:14 pm is helpful to scheduling.
Required
Number of Sessions *
Please indicate approximate number of sessions. Both breakfast and lunch hospitality will be available to keep you energized!
Back-up Support *
Please indicate if you are available as to act as back up speaker (in the event a scheduled speaker is sick or cancels) after your session(s).
Classroom Requests
Please indicate if there is a specific class you would like to address as part of your speaking schedule. Please note the best effort will be made to match speakers with class requests. For guests planning to bring materials to work with or hand out to students, approximate class sizes are as follows: Kindergarten has 25 students per class and Class 151 and 152 have 12 students per class. All other classrooms have approximately 32 students per class.
Grade Preferences *
Below please indicate your grade preferences.
Required
Special Requests, Questions, Other Technology
AV/ Technology/ Presentation Needs
Check all boxes that apply
Submit
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