Use this form to request a speaker from PAGE to present to your ECE or TAP class. Your Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last School*School System*Email* Type of Class*ECETAPNumber of Students in Class*Time Your Class Meets* : HH MM AM PM Length of Requested Presentation (# of minutes)*Please enter a value between 30 and 90.Preferred Date of Presentation* Alternate Date if Preferred Date Is Not Available* What would you like for us to talk about?*To select more than one topic, please hold down the Control key while making your selections.PAGE/Professional OrganizationsEthics in TeachingContemporary Issues in Georgia EducationNuts & Bolts (practical info like salaries, PSC & certification, etc.)Other (tell us what)Other Topics Requested
