Liesl Shurtliff Visit Questionnaire
Thank you so much for your interest in bringing me to your school! I want to make sure I can accommodate all your needs and make the day fantastic for every student. To that end, please fill out this brief questionnaire, and we will be in touch very soon.
Examples include Media Specialist, 4th Grade Teacher, or PTO Events Coordinator.
What is the name and location of your school or organization?
Please include the city and state where you are located.
What date or month would you like Liesl to visit?
Please indicate any date ranges or scheduling constraints you might have.
Will you be having Liesl visit more than one day? Or hosting in conjunction with other schools?
If yes, please describe the proposed visit schedule and provide the names of the other schools who will also be participating in the hosting.
Is this for a specific event or program?
For example, is this for a One Book One School event or Reading Olympics? If so, please describe.
What grades would Liesl be presenting to?
How many students are in each grade?
How do you plan to incorporate Liesl's books in the classroom prior to Liesl's visit?
Examples include classroom readaloud, watching Liesl's book trailers, One Book One School event, fairytale studies unit, artwork, etc.
Do you have a local bookstore you'd like us to work with for book sales?
If so, please include the name of the store in the response.
How will parents be notified of Liesl's visit?
Do you have funding in place for this event, or are you in the process of obtaining funding?
For details on Liesl's honorarium and fees, please see her Author Visit information packet on her website under School Visits.
Do you have any special needs, circumstances, or requests that we should be aware of?
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service