Expression of Interest for Karen to Engage with your Organisation / Staff / Delegates
Thank you for making the enquiry. Please complete the form, so we can discuss your request
Contact Details
Your Name *
Your answer
Your Email Address *
Your answer
Contact Phone Number *
Your answer
Organisation Name *
Your answer
Organisation / Event Address *
Your answer
Engagement Requirements
Reason for the workshop / presentation / speaker engagement *
Type of Engagement *
Event Details
Type of participation required *
Suggested three possible dates and times engagement *
Your answer
If a specific event, please name the event
Your answer
Select the relevant type / types of engagement
Suggested Key Note Address topics *
Personalised school interaction: Whole School Engagement - pedagogy & technology staff audits and feedback. Staff discussion sessions. Staff development workshops *
Personalised school interaction: Creating relevant learning spaces in your school - recreate, remodel or brand new. For all subjects, including maker-spaces *
Presentations / Workshops you're enquiring about (mark all relevant one) *
Required
Further Information
Where did you learn about Karen's work? *
Additional Information *
Your answer
Thank you for completing the form, please submit it!
Submit
Never submit passwords through Google Forms.
This form was created inside of Karen Walstra Consulting. Report Abuse