You may sign-up for Our Presentations by completely filling out the information below.

Please note: A minimum participation of 150 students is required in order to qualify for a presentation. We will contact you to confirm our ability to deliver the presentation and to finalize your specific date and time. Please check your input for any inaccuracy before clicking the Submit button at the bottom of the page.

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School Contact Information
Contact Name:	*
Contact Title:
School Name:	*
School Address:	*
City:	*
State:	*	Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY PR VI AS
Current Zip Code:	*	-
School Phone Number:	*	(  )  -
School Fax Number:		(  )  -
Email Address:	*
Total number of students in school:	*
Percentage of seniors going on to two or four year colleges/universities:	*	%
How did you hear about us?:
Program Scheduling Information
Making College & Career Count Please enter your top three choices: (approximately 45 minutes in length)
1) Date/Time:		Month January February March April May June July August September October November December / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year 2014 2013 2012
2) Date/Time:		Month January February March April May June July August September October November December / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year 2014 2013 2012
3) Date/Time:		Month January February March April May June July August September October November December / Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Year 2014 2013 2012
Number of seniors in current class: