Request a Visit in the Lehigh Valley - What’s So Cool About Manufacturing®

Thank you for your interest in a PA Dream Team – Lehigh Valley presentation at your school. Please complete the form below to submit your request.

"*" indicates required fields

Name*

First Last

Your Position Title at the School*

School Name*

School District*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

This information will be provided to the guest speaker so please make sure it is an accurate representation on where they should plan to arrive for the presentation.

Any additional information on arrival

Please include any additional information the presenter will need to know about arrival like where to park, process to enter the building, expected arrival time pre-presentation, etc.

Phone*

Email*

Grade(s) of Students*

This information helps us include the right hands-on activity and customize our presentation to the right student audience.

Class Subject, Group Name, or Event*

This helps us better align the right Dream Team member with your request.

Number of Students*

We prefer to present to a standard classroom size audience. If you have a different style of event or multiple classrooms included in your request, please include the total number of student impacts we might expect to make during our visit.

Date Option #1*

Only one date option is required for submission, but if you have date flexibility, please include additional options below to increase the possibility we can fill your request.

Date Option #2

Date Option #3

Requested Time for Visit

A standard classroom visit is 45 minutes in length. It will include a PowerPoint presentation from the Dream Team member, hands-on-activity, and Q&A. If you would prefer a different length or style of presentation please include that in the additional details below.

Additional Details

The easiest way for us to fill a request is by having date options and times included in the form as requested above. This space is to add any additional details if there is flexibility or additional information you would like to provide on the line items above.

Photo Release Request*

Yes, the photo release is on file and you are good to go.

Yes, I am willing to send a photo release form that you provide but there is nothing currently on file.

No, I would prefer photos not be taken.

With your permission, we would like to take photos during the presentation. These photos may be used for program highlights, community updates, and promotional materials. Could you let me know if your school already has media releases on file for students, or if I should provide a separate photo release form for parents/guardians? Thank you for your help in making sure we follow the proper process.

I require clearances sent before the presentation.*

Yes

All of our Dream Team members have their clearances. Please check yes or no if you require those clearances be sent to you.

This field is for validation purposes and should be left unchanged.