Classroom Visit Form

Fill out the form so we can help you plan your event

Name *

First

Last

Your role at the school *

School Name *

School Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Date availability is limited - please list your top 3 date choices

Tell us a little bit about your students (grade levels, number of students) *

What are your primary goals for inviting Steve to speak with your students? *

Is there any “inside information” Steve should know about what your students are currently studying, school culture or anything else to help Steve personalize this presentation? *

Can you think of anything Steve could do to make this an even better experience for your students? *

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