Location of Event (City and State)
Possible topics of interest (check all that apply)
Culturally Responsive Practices
Building Rapport and Relationships
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First and Last Name:
What best describes you?
Educator - Superintendent, Professor, Principal, Teacher
Conference or Event Coordinator
Any additional comments or questions?
Tentative Date and Time of Event
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Experienced. Dynamic. Professional Speaker.
Email Purpose Pushers directly or complete the form below to request speaker services.
Once you complete the form, our Events Coordinator will reach out to request additional information or submit a proposal for services.
Possible services of interest (check all that apply)
Virtual Services (E-Coaching for Educators, E-Courses, Virtual Whole Group PD)
Keynote or Motivational Speaking
What is the purpose/goal of the event?:
Estimated # of Attendees
1000 or more
What is the estimated budget for the speaker?
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