JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
shift_ed Speaker/Presentation Request
Please complete the shift_ed event request form at least 5-7 business days prior to the event. A team member will confirm our ability to be present at the event.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of GCS school:
*
Your answer
Contact Name
*
Your answer
Event Title:
*
Your answer
Which shift_ed impact area you would like your audience to learn more about?
*
shift_ed's classroom to career holistic support services (Kindergarten-College)
shift_ed's scholarship model and college planning curriculum (High School 9-12)
shift_ed's middle school support services
shift_ed's elementary support services
shift_ed's SEO Scholars Program (9th grade)
shift_ed's philanthropic opportunities
shift_ed's community volunteer needs
Other:
Required
Event Date:
*
MM
/
DD
/
YYYY
Event Start Time:
*
Time
:
AM
PM
Event End Time
*
Time
:
AM
PM
Presentation format:
*
Formal presentation to audience
Host a table or booth
Provide handouts or information prior to the event but not physically attend
Other:
How long would you like a member of our team to present?
*
Your answer
Is the event virtual or in person?
*
Virtual
In-person
Hybrid
Other:
If in-person, please include the event location address:
Your answer
If in-person, will our team have access to a projector, wifi and projection screen?
Yes
No
Other:
Clear selection
Expected number of attendees:
*
Your answer
Please include any other details you would like our team to know prior to your event:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of shift_ed.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report