Request a Teacher of the Year

John.podium.sponsors2-199x300 Teachers of the Year serve as valuable resources to both educational agencies and other private and public organizations. Many are available as speakers, for professional development, and as consultants on a variety of topics.

Organizations or individuals that request the services of a Teacher of the Year bear all expenses associated with that request. Honoraria for the teacher are not requested, but accepted if offered. If you would like to request a Teacher of the Year, fill out and submit the following form below.

Speaker Preference:

First and Last Name:

Title:

Organization:

Street Address:

City, State Zip Code:

Organization Website:

Your Work Phone:

Your Cell Phone:

Your Email Address:


Event Information

Name of Event:

Date of Request and Time for Teacher of the Year (e.g. 10/20/2012, 6:00-9:00 pm, 30-45 mins to speak):

Event Webpage (if applicable):

Location:

Location Street Address (City, State):

Type of Request (e.g. keynote, keynote, professional development, breakout session, panel participant):

Preferred Speech Content (if any):

Audience Composition:

Range of Audience Expected (e.g. 100-200):


Financial Responsibility

Does your organization agree to bear all travel costs associated for this request for the National Teacher of the Year?  Yes No

NOTE: An honorarium/ speaking fee is not requested, but will be accepted if offered. If you wish to provide an honorarium, in the amount of your choice, please list the amount; otherwise leave this blank.


Additional Comments

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QUESTIONS?: Please contact us at: [email protected] or by phone at 203-520-1243.


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