1. School Information

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PLEASE NOTE: You are not in the Western Sydney University network and have entered a third party service, SurveyMonkey (see SurveyMonkey's Privacy Policy here). If you do not wish to proceed, close your browser window and complete and email the booking form found with the APSS Speaker Register.
Schools accessing this program need to respond to communications promptly and participate in the evaluation process. 

Speakers may not be available on the requested date/s due to other commitments.

Please make sure you have received a booking confirmation before making in-school arrangements for the visit/s.
Please refer to the Speaker Register and Topic Index (opens in new window) before completing this form.

Question Title

* 1. School details:

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* 2. Contact teacher details:

Question Title

* 3. Helpful and detailed directions and parking information for speaker/s (assume the speaker is unfamiliar with the area):