2020 Washington Teacher of the Year Speaking Request

Washington's 2020 Teacher of the Year Amy Campbell is eager to meet with education stakeholders and participate in education related events.

Amy will respond to all invitations as quickly as possible. She will accommodate as many requests as her schedule allows. Occasionally, she may refer your request to a Regional Teacher of the Year with expertise in your particular area of interest.

Name of Organization *This question is required.

Name of Event *This question is required.

When is your event scheduled? *This question is required.

Date of Event *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Please note that any requests after Amy's release time ends on June 30, 2020 are not subsidized by the Teacher of the Year program. You may be asked to pay a fee and/or availability will be limited.

Please give Amy some options for dates/times you would like her to visit.
Please note that any requests after Amy's release time ends on June 30, 2020 are not subsidized by the Teacher of the Year program. You may be asked to pay a fee and/or availability will be limited.

If this request is for an event in September - December 2019 I agree to pay for Amy's travel and reimburse Camas School District for a substitute teacher when necessary. *This question is required.

Please note that Amy is still teaching full time through December. Declining to reimburse her travel and substitute costs reduces the likelihood she will be able to attend your event.

I can provide overnight lodging if the distance from Amy's home and event time will require her to be in travel status before 7 am or after 7 pm. *This question is required.

Event Start Time *This question is required.

Event End Time *This question is required.

Location of Event *This question is required.

Street Address
City
State
Zip

I would like Amy to: *This question is required.

Please enter an 'other' value for this selection.

Which Inclusionary Practices workshops are you interested in? check all that apply

Inclusionary Practices for Certificated Staff - ideal for general education and special education teachers
Inclusionary Practices for Leadership - ideal for district and building-based administrators and board members
Inclusionary Practices for Support Staff - ideal for paraeducators, school secretaries, bus drivers, and anyone working to support students in a school setting

How long is the speaking/panel slot? *This question is required.

Who is the audience for this event? (please check all that apply) *This question is required.

Teachers
Support professionals (para-educators, office managers, etc.)
Principals and other building based administrators
District based administrators, specialists and staff
School board members
Parents and families
Students
Lawmakers
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

What is the theme for this event? (particular subject, instructional strategy, school finance, etc.) *This question is required.

Contact Name *This question is required.

Contact Email *This question is required. This question requires a valid email address.

Contact Phone (with area code) *This question is required.