Teach in the Peach Ambassador Request
Request an ambassador to attend your event, class, or activity. Please provide detailed information to help us best support your needs. Someone will respond within 2-3 business days.
Organization Name
Contact Person Name
Contact Email
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Event Type
Please Select
Class Visit
Community Event
Conference
Virtual Session
Other
Event Title
Event Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
Hour Minutes
AM
PM
AM/PM Option
Location (address or virtual platform link)
Expected Audience
Students
Educators
Community Members
Mixed
Other
Estimated Number of Attendees
Grade Level(s) (if applicable)
Brief Description of the Event and Goals
Preferred Topics or Focus Areas for the Ambassador
Requested Role of the Ambassador
Speaker
Panelist
Facilitator
Exhibitor/Booth
Other
Technology Available On Site
Parking and Check-in Details
How did you hear about the Teach in the Peach program?
Additional Notes
Submit Request
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