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 NameLast Name
Company:*
Email*
example@example.com
Phone Number*

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

ElectricalConstructionHVACMasonry/ BricklayingCarpentryPlumbingPipe FittingWorkplace SkillsEntrepreneurshipOther
Specific topic or area of focus:
Length of time you will need?
Do you have an interactive activity?

YesNoNot currently, but I could
Counties you are willing to speak:*

Orange CountyLake CountyOsceola CountySeminole CountySumter CountyPolk County
Areas of town you are willing to speak: (Please check all that apply)

EastWestNorthSouthCentral
Do you have a specific High School you would like to speak at?
Best day for you?

MondayTuesdayWednesdayThursdayFriday
Would your company be willing to host an onsite field trip?

YesNot at this timeMaybe, would need to discuss
Any additional comments:
Should be Empty:

ACT GUEST SPEAKER FORM