Ag Literacy Presentation Request Form

Contact Information

Interested in having NDA staff present at your school or educational event? Fill out the information below and we'll follow up with you regarding availability.

Name

School or Organization

Event Location Name (if different from school or organization)

 

 Event Location Address

City, State Zip Code

Email

Phone Number

 

Presentation Request

 What is your goal of the event/presentation? What would you like the audience to learn? 

 

Presentation Date (MM/DD/YY) 

 [None] Select a Date Delete the Date

Start and Set Up Time:

End Time: 

Event Name


 What is the anticipated attendance/reach of the event?  


Event Format
What is the structure and setting of the event? Examples: One hour classroom presentation, 15 minute rotational station on school lawn, booth space with free flowing traffic in gymnasium.

Grade Level(s) or Age of Attendees


Is there a specific topic you'd like covered?

          
If you selected "Other," please indicate what other topic you would like covered.


 

 

Feedback

How did you hear about our presentations?