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!
Sign in to Google to save your progress. Learn more
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.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms