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Appearance Request Form
If you are interested in having Chris Soentpiet speak, please fill out the appearance request form:
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Name
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First
Last
Email
*
Email
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Name of School, Conference, or Library
*
Event Address
*
address where event will take place
City
*
State
*
Zip Code
*
Event Email
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Email
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Phone #
*
Your Position
*
Media Specialist
PTA/PTO
Educator/Teacher
Volunteer
Others
Type of Event
*
School Visit
Conference
Virtual Visit
Book Signing
Public Library
Book Festival
Charity
Commencement
Family Night
Others
Program
*
A: Picturing the World (Chris only)
B: Beyond Written Words (Chris & Yin)
C: Virtual Visit (Chris only)
D: Where Are You From? (Yin only)
Undecided
Number of Presentations
*
1
2
3
4
5
Undecided
Audience
*
Elementary school
Middle school
High school
Educators/Teachers
Parents/Children
Public library
Public event
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BOCES
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PTA/PTO
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Title 1 Grant
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How did you hear about Chris?
*
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His Books/Brochure
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