Guest Speaker Survey

We are seeking parents, family members, and community partners who have jobs or businesses that are related to our pathways and may be interested in sharing their experiences with our students.
If this is something you would be interested in, please complete this survey.

Your Name Your Name First Last
Best email address to reach you:

Confirm email address
Best phone number to reach you Best phone number to reach you - ### - ### ####
Your preferred communication mode:

Your preferred communication mode: Email Phone Message Other Other
Your relationship to Angeline Academy of Innovation:

Your relationship to Angeline Academy of Innovation: Parent Grandparent Community Member Business Partner Other Other
If you are a family member, please provide your student's name: If you are a family member, please provide your student's name: First Last
Activities you are interested in. You may check more than one:

Activities you are interested in. You may check more than one: Guest Speaker Field Trip to Your Business/Workplace Participation in Career Expos Participation in Great American Teach In week of 11/18 - 11/23 Other Other
Check any of our Pathways that may apply to your occupation, career field or business:

Check any of our Pathways that may apply to your occupation, career field or business: Biodesign Cybersecurity Engineering or Robotics Entrepreneurship Artificial Intelligence or Machine Learning Not sure
Occupation, Career Field or Business:
Which grade level would you prefer to engage with?

Which grade level would you prefer to engage with? Middle School High School No Preference
Would you be willing to serve on a Career Advisory Committee for our school?
The fields below only need to be completed by those interested in participating in the GREAT AMERICAN TEACH IN
GREAT AMERICAN TEACH IN: Are you willing to do multiple presentations and/or multiple dates?

GREAT AMERICAN TEACH IN: Are you willing to do multiple presentations and/or multiple dates? Yes, multiple presentations No, only one period for presentations Yes, multiple dates No, just one date. Other Other

This is for GREAT AMERICAN TEACH IN.
GREAT AMERICAN TEACH IN DATES: Please indicate which date(s) you are available to present.

GREAT AMERICAN TEACH IN DATES: Please indicate which date(s) you are available to present. Monday, November 18 (B Day) Tuesday, November 19 (A Day) Wednesday November 20 (B Day) Thursday, November 21 (A Day) Friday, November 22 (B Day)

This is for GREAT AMERICAN TEACH IN

Guest Speaker Survey

Guest Speaker Survey

The fields below only need to be completed by those interested in participating in the GREAT AMERICAN TEACH IN