Bridges Speakers Bureau Request Form
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1. Request for a speaker in the classroom

 
Please complete this form to request a speaker in your classroom through the Bridges Workplace Connection. NOTE: Your request must be submitted at least three weeks in advance.

Please contact Mary Gottsch, Bridges Workplace Connection Director at the Brainerd Lakes Chamber, at 218-822-7117 or via email at mgottsch@explorebrainerdlakes.com if you have any questions.

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1. Topic or Career Requested:

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2. What are you hoping the students will gain from this presentation?

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3. How will you prepare students for the presentation?

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4. Special requests or comments for the presenter:

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5. Your School District is:

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6. Your name, and course you are teaching:

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7. Please indicate the number of students per grade level in your classroom:

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8. Please indicate if you need a presenter on a specific date, or if you are flexible within a certain time period. (Please note the date or flexible time period below).

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9. Please list the time the presenter should arrive in your classroom:

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10. Please provide the following information to help the presenter when they arrive at your school:

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11. Please list the best way to contact you to confirm the presenter details:

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12. Please list your daytime phone number:

13. Any additional questions or comments?

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14. By submitting this request for a speaker in your classroom, you agree to prepare the students (establish awareness of the topic or career, help create questions, share the impact to their education and/or future careers), remain in the classroom during the presentation, and complete an online evaluation within five school days afterward. You also understand that the speaker will prepare a presentation of up to 20 minutes plus a question and answer period, and incorporate interaction with the students in their presentation.