ACT Guest Speaker Form

ACT GUEST SPEAKER FORM

One of the most lasting impacts you can provide to our students is sharing your experiences. Thank you for volunteering to be a guest speaker and helping prepare our students for for a successful career in construction. Please fill out this form as completely as possible. This information will be used to coordinate with our instructors and their lesson plans.
Full Name: *

First Name Last Name
Company: *
Email *
example@example.com
Phone Number *

Area Code Phone Number
Topic or Industry you be speaking about. (Please check all that apply) *

Electrical Construction HVAC Masonry/ Bricklaying Carpentry Plumbing Pipe Fitting Workplace Skills Entrepreneurship
Specific topic or area of focus:
Length of time you will need?
Do you have an interactive activity?

Yes No Not currently, but I could
Counties you are willing to speak: *

Orange County Lake County Osceola County Seminole County Sumter County Polk County
Areas of town you are willing to speak: (Please check all that apply)

East West North South Central
Do you have a specific High School you would like to speak at?
Best day for you?

Monday Tuesday Wednesday Thursday Friday
Would your company be willing to host an onsite field trip?

Yes Not at this time Maybe, would need to discuss
Any additional comments:
Should be Empty:

ACT GUEST SPEAKER FORM