College Day 2015: Supplemental Speaker Questionnaire
Reach Higher. Own Your Future!
Who Do You Want To Be?
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Thank you for your interest! Please fill out supplemental questions below to be paired with a Santa Clara County Classroom.
www.collegeday.org
Name *
Email Address *
We will put you in touch with the teacher you are paired with. Direct connection ensures a great experience.
Preferred Grade *
We will do our best to pair you with the classroom that fits your needs as well as the teacher's
Required
Time Availability *
Teachers generally prefer mornings. Time commitments (not including travel time) can be 30-60 minutes long
Required
Briefly describe your college/career path. *
Examples: Jobs, current position/company, college major, schools you attended, volunteer or mentor-ships held, etc.
Preferred Region of the County *
We will do our best to match you to your preferred area
Required
Are you able or willing speak to more than one class or school? *
If unsure, check "Other" and include your concern.
Required
Are you comfortable speaking to a large group (more than 35 students) *
If yes, check "Other" and indicate the group size you are comfortable with
Required
Are you interested in ordering a College Day t-shirt? *
Ordering a College Day t-shirt is a great way to support and raise awareness for College Day! Proceeds from shirts are used to raise awareness among kids and, in the future, to begin a scholarship fund! If you check yes, we will send you the link with your confirmation email.
Required
Questions? Comments? Concerns?
If you've previously participated and have ideas for improvement or if this is your first time signing up, let us know!
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