Contact Form
Please complete the following form fully if you’d like to hire me to speak at a conference or work with your school or district. I’ll receive your information via email and will be back in touch promptly. Please do not leave any questions unfinished.
Email address *
Name of Organization/Institution *
When are you looking for this PD? *
What kind of Professional Development? *
Primary Contact (First and Last Name and Title) *
Contact Number *
School/Organization Mailing Address (for Contract and Invoice purposes) Street, City, State, Zip Code *
School/Organization Physical Address (If different from mailing address)
Amount of people for professional development (approximately)? *
Are you interested in a one day event or series? *
What type of professional development has your school/organization had before this? *
Special Circumstances (Are there special requirements for Contracting or Invoicing?) Please specify or state none. *
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