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!
First and Last Name
Your answer
Email Address
Your answer
City, State
Your answer
Phone Number
Your answer
Employer (or Company requesting workshop/training)
Your answer
Location of Workshop/Training?
Your answer
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?
Your answer
Please select the workshop/training that you are requesting.
Preferred Date
MM
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DD
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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?
Your answer
Is there any other information you think that needs to be know about your requested workshop/training?
Your answer
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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