B.E.E. Student Workshop Application

Student Workshop Application Form

* Indicates required field

Organization Name *

How did you hear about the Bluegrass Education Expo? *

Title of Proposed Student Workshop (This can be edited later) *

Description of Proposed Workshop *

Preferred class size? *

We can accommodate the following age ranges: *

Preferred Length of workshop *

How many sessions would you like to do during the day? (This number is not guaranteed, but we do want to know your preference.) *

Can you provide all the volunteers/workers needed for your session(s)? *

Any room requests/requirements? *

Each chosen organization will be given free exhibitor space and advertising on our site and Facebook feed as part of the Expo. All organizations participating in student workshops need to provide enough volunteers to staff their session.

Account Contact Information (For Billing & Administrative Questions)

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Work Phone Number *

Cell Phone Number *

Email *

Exhibitor Booth Contact Information (This person should be the one responsible for the actual exhibit and will be our point of contact for set up instructions & event information. This can be the same person as listed above.)

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Work Phone Number *

Cell Phone Number *

Email *

Company Information--for public use

Company Name *

Contact Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Work Phone Number *

Cell Number *

Email *

Website *

Company Description *

Submit

I will register later. Return me to the main Expo page.