Please complete this registration form to participate in the Classroom Speakers Program. Thank you for this valuable contribution to students in Winston-Salem/Forsyth County Schools.

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* 1. Your Name

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* 2. Title

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* 3. Phone Number

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* 4. Email Address

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* 5. Company/Organization you volunteer through (if not applicable, respond with "individual volunteer")

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* 6. Company Mailing Address

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* 7. Provide the topic or presentation title:

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* 8. Which grade-level is most appropriate (Check all that apply)

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* 9. Provide a brief description of the areas you will cover in your presentation: (Ex. Topic details, workplace duties, education and skill level, your background, basic skills taught in high school that are used daily on your job (math, reading, etc)

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* 10. Students learn best when they are actively engaged. Briefly describe how you will involve students in your presentation. (Ex. hands-on activity; idea exchange; demonstrations; problem solving; Q&A session)

Thank you!

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