Thank you for your interest in conducting an event within your district.  To better serve your need, please take a few moments to fill in the following form. 

*First Day of Event:  mm/dd/yyyy
*Last Day of Event:  mm/dd/yyyy

*Times of Event:

Please Double Check the Dates and Times above above!


*School/Organization Name: 
*District Name:
*District Billing Street Address:
*District Billing City:
*District Billing State:
*District Billing Zip code:
*District Website:

*Contact Person:
*Contact Personís Job Title:
*Contact Personís Phone Number:   555-555-5555    ext.
*Contact Personís Cell Phone Number:  555-555-5555
*Contact Personís E-mail:

If appropriate...
Second Contact Person:

Second Contact Personís Job Title:

Second Contact Personís Phone Number:
  555-555-5555    ext.
Second Contact Personís Cell Phone Number:
Second Contact Personís E-mail:


If neither the Contact nor the Second Contact is the District/Building Technology Director, please fill in the following...
Technology Director:

Technology Director's Phone Number:
  555-555-5555    ext.
Technology Director's Cell Phone Number:
Technology Director's E-mail:

*Will the District/Building Technology Director be available during the event? 

*Type of Event: 

*Location of Event:
*Location of Event Street Address:
*Location of Event City:
*Location of Event State:
*Location of Event Zip Code:


*Number of Participants:    For participant limits, please review our training options from our Services Page at
*Subjects/Type/ Grade Levels of Participants:

*Is Lunch Provided? 
Lunch should be provided to establish a working-lunch environment for the event.

If a your event integrates SMART Technologies...
        How many SMART BoardTM Interactive Whiteboards are available? 
            Please remember that your Teacher to Board Ratio must be 3 to 1 or lower. 

        Explain the set-up of the Training Room and Break-Out Sessions Rooms:
        How are they located in relationship to each other?

        Will a computer lab be available for potential afternoon training?
        If yes, how is the computer lap in relationship to the training area?


Any questions for me?  Or any additional information regarding your event.