BEA Speaker Request Form
Use this form to request a BEA guest speaker for your classroom or group of students. Requests should be made at least 30 days in advance.
Name of School:
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Contact Person:
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Title:
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Address:
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City:
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Zip:
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Phone Number:
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Email Address:
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Best way to reach you:
Best time to reach you:
Date speaker needed (mm/dd/yy):
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Will you need more than one speaker? If yes, how many?
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Name of event:
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Desired topic:
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Desired length of presentation:
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Grade level of audience:
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Our school will provide:
Other information:
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