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
Employer (or Company requesting workshop/training)
Location of Workshop/Training?
Please check the box(es) that describe your audience.
Other School Staff
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.
More information can be found at
Math with a Purpose: Making Students Think (NEWLY ADDED in Fall 2016)
Interact with Me and Engage Me (Interactive Notebooks 101)
Flippin' Out Over Flippables
Practical Problem Solving
I've Flipped, Now What?
Custom Created Workshop/Training
Combination of 2 or more
Please note that many workshops can be given in 3 or 6 hour windows.
Length of workshop requested
Half Day (3-3 1/2 hours)
Full Day (6-7 hours including lunch break)
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/or Training that must be contracted at least 30 days prior to the date?
A quote will be sent once a request is made. A Invoice/Purchase Orders will be sent once a request has been made official through written/verbal approval of the quote. Travel will not be scheduled until that time.
Yes, I understand
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