Workshop and Training Request Form
Thank you for taking time to request Smith Curriculum and Consulting to provide a workshop to teachers that you care about!
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First and Last Name *
Email Address *
City, State *
Phone Number
School/District (or Company requesting workshop/training) *
Location of Workshop/Training? *
Please check the box(es) that describe your audience. *
Required
Is there any relevant information about your target audience that is pertinent to this workshop/training?
Please select the workshop/training that you are requesting. *
Preferred Date
MM
/
DD
/
YYYY
Preferred Time
Please note that many workshops can be given in 3 or 6 hour windows.
Time
:
Length of workshop requested *
Alternative Date
MM
/
DD
/
YYYY
How many participants do you expect per workshop/training session? *
Is there any other information you think that needs to be know about your requested workshop/training?
Do you understand that there will be a daily rate as well as travel expenses charged for all Smith Curriculum Consulting Workshops and a purchase order must be received no less than 2 weeks prior to the workshop? *
An official quote will be sent once a request is made. Once a purchase order is received from the school travel will be scheduled. All travel needs to be scheduled at least 2 weeks prior to the workshop date so please plan accordingly. Travel scheduled less than 2 weeks prior to the workshop date will possibly adjust your quote.
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