Workshop Request

Your name *

Prefix

Email *

Contact Phone Number *

School or Organization Name *

School or Organization Address *

Alternative Contact

If you are signing up for a workshop on someone's behalf, please tell us their name and email address. (ex. You are a guidance counselor signing up on behalf of the AVID program and are not the instructor)

Mode of Instruction *

Instruction Level *

High School/ College Level Workshop Topics *

Middle School Workshop Topics *

Number of Workshops Selected *

Please select the number of workshops you have chosen above.

Presentation Date (1st workshop)

Month

Day

Year

Presentation Date (2nd workshop)

Month

Day

Year

Presentation Date (3rd workshop)

Month

Day

Year

Presentation Date (4th workshop)

Month

Day

Year

Presentation Date (5th workshop)

Month

Day

Year

Presentation Date (6th workshop)

Month

Day

Year

Presentation Date (7th workshop)

Month

Day

Year

Start and End Times of workshops (please specify for each period) *

Equipment Selection *

Teacher can give Ambassador access to Wi-Fi network

Teacher can supply a laptop for Ambassador use

Teacher can provide a projector for use

Select if your workshop is on ZOOM or other video conferencing platform

Teacher cannot provide access to any of the above

Please select all of the options that you can provide to us in your environment.

Equipment Specifications

Please describe the equipment we may have access to. Things that would help us to know are: What connections are used between equipment? (ex. HDMI, USB-C, Other) Is there ports for a thumb drive? (Traditional USB port) Is there an out of ordinary circumstance with your equipment? (ex. Doesn't work with windows)

How many participants at each workshop? *

What grade are your students in? *

Location Specifics

Please provide us with a room number, building, or directions on premises to the teaching location.

Check in Procedures

Let us know how to check in at the location. Ex. "The parking lot guard will give you guest pass and check you in.", "Please go to the front office to log in and ask for directions."

How many students are male? *

How many students are female? *

How many students do not identify with male or female? *

What do you hope to gain from these workshops? (ie financial knowledge, information about budgeting, etc) *

Any other special instructions/notes?

Are you planning on attending Arizona Financial Face Off?

Yes

No

I would like more information