Exit this survey Instructor Speakers Bureau Question Title * 1. Please provide the following contact information: Name: Facility: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address: Phone Number: Question Title * 2. Teaching-related subject(s) you have special expertise in and/or have presented on in the past? Question Title * 3. Note: At this time, we are only including GBN members in this database who have at least some speaking experience at the section level or higher: Please list at least one – and no more than your five most recent – past speaking engagement(s) presenting to other teachers. (For example: "2010 North Florida PGA Teaching Summit") Question Title * 4. Title of your current presentation(s). You may list up to three different topics. Question Title * 5. Your mini-biography in 200 words or less: Question Title * 6. Your minimum speaking fee for events within a two hour flight of your home? Note that this is your speaking fee only, it is standard for travel expenses to be covered on top of the speaking fee. Question Title * 7. Your minimum speaking fee for events more than a two-hour flight of your home? Note that this is your speaking fee only, it is standard for travel expenses to be covered on top of the speaking fee. Done