Street Address Line 2
State / Province
Postal / Zip Code
Preferred phone number:
How many years have you been teaching this type of class?
Less than one year
Publication type(s)/student media produced (check all that apply):
Does your staff produce multimedia packages?
What level of training (if any) do you have in journalism and/or journalism education? (Check all that apply.)
Professional journalism experience
Certified Journalism Educator/Master Journalism Educator
Degree in journalism or related field
Which topic/skill would you like a professional to address with your class? (Select up to three topics.)
Legal briefs/libel policy
Media literacy/fake news
Which best reflects the primary reason for your request? (Choose all that apply.)
To address an important topic/skill I have not taught
To supplement my own instruction on this topic
Have you used guest speakers in this class before?
Which type of presentation best meets your needs? (Choose your preference.)
Skype or Google Hangout visit
What other background would you like to provide about the class and/or student media program?
Should be Empty: