BE COOL Presenter Request

Brain Education Child Onsite Oriented Learning

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NAN Member requesting slide presentation and lesson plan: (Required.)

Name:

Email:

Membership Level:

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When is the presentation? (Required.)

Date / Time

Date

Time

AM/PM

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School Name, City, State: (Required.)

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Grade Level(s): (Required.)

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Anticipated Number of Students: (Required.)

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Please type your name below as agreement that you will complete the presenter evaluation and provide the school with an evaluation link for them to complete. (Required.)