Green Schools Speakers Request

Green Schools Speakers Request
Your Name *

First Name Last Name
E-mail *
School Name *
City *
Have you obtained permission from the site’s Administration (e.g., School Principal) to have a guest speaker on site? *

Yes Not yet
Administrator's Name *
School Name, District Name *
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
What grade(s) are you looking to have a guest speaker? *

Elementary (K-5) Middle School (6-8) High School (9-12) Staff, Teachers and Parents
How many students would be attending the presentations? *
Does the school have a classroom with laptop connectivity to Large TV or Projection Screen? *

Yes No
Would you be open to online workshops? *

Yes No
Anything else we should know about related to this request?
Should be Empty: