Speaking Request Form Speaker Request Name * School/District/Organization Email * Phone What type of Speaking Engagement are you interested in? * Lunch and Learn Workshop (1 hour) Half Day Workshop (3 hours) Full Day Workshop (5-6 hours) Unsure Setting * In-person event Conference Professional Development Information Night Virtual Unsure Expected Audience Classroom Teachers Resource Teachers Educational Assistants Administration Academics Parents Other Expected Audience Size * 1 – 24 25 – 49 50 – 99 100 + Topic(s) of Interest * Reading Development Handwriting Development Structured Literacy Learning Disabilities ADHD Autism Executive Functions Psycho-educational Assessments Individual Education Plans Advocacy Other Is there any other information you think we should know about this speaking opportunity? Date for Engagement: Submit If you are human, leave this field blank.
