Speech/Appearance Request for Superintendent Janet Barresi

Thanks for your interest in having Superintendent Barresi speak and appear at your event. The State Department of Education is excited about offering Superintendent Barresi's vision for education in our state. As you can imagine, the department receives many requests. Filling out this form is fast and helps us keep track of every inquiry. Thanks!

Name of Event *

Sponsoring Group *

Date of Event *

Month

Day

Year

Event Beginning Time

Event Ending Time

Time of Speech * Please give expected length of speech

Location of Event * Street Address, Include Suite Number

Location Phone *

Topic of Remarks *

Contact Name * Full Name of Primary Contact

Contact Phone Number * Please Include Area Code

Contact E-Mail *

Expected Number of Attendees *

Person Introducing Superintendent *

Persons Seated By Superintendent

Open to Public? *

Media Invited? *

Attire *

Event Background Information *

Please provide a brief history, mission statement, relevant goals, specific concerns or topics of organization and/or event.

Event Details *

In no more than three sentences, please describe the nature of the event and specifics about event location - including further contact information. Please also include information about topic and anticipated length of speech request.

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Speech/Appearance Request for Superintendent Janet Barresi