Speaker Request Form - Crystal Kirch
I am honored to be considered to present at your upcoming Professional Development event.  It is my goal that teachers are informed, equipped, and empowered to find ways to enhance and improve the teaching and learning in their classrooms.

Please complete the form below to request a speaking quote for me to present at your Professional Development.  I will follow up with you via email within a week's time.
Sign in to Google to save your progress. Learn more
Name
Job Title
Organization
Address
Telephone Number
Email Address
Proposed Date(s) and Time(s) of Professional Development
Please include Time Zone
Preferred Duration of Professional Development
(in hours)
Approximate Budget for Event
Number of expected participants
Description of expected audience
(subject, grade level, experience level)
Background knowledge (including previous trainings) of participants
Topic(s) of Professional Development
What do you want the teachers to learn, practice, and understand by the end of the training?  Below is a list of trainings I have done in the past.  I am open to new requests for trainings; please provide me as detailed of a description of your needs as possible.  All trainings listed below are between 1-3 hours each.
Additional Comments or Questions
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.