Bring Realistic CEO™ to Your School — Inspiring 25,000 Students This Year

First & Last Name *

First Name

Last Name

Phone *

(###)

###

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Preferred Date

Fall

Winter

Spring

Preferred Time

Morning

Afternoon

Flexible

Grade Levels

Elementary

Middle

High School

College/University

Event Type

Classroom Visit

Assembly

Career Day

After-School Program

Other

Topics of Interest

Check all that apply

Leadership

Entrepreneurship

Career Readiness

Financial Literacy

Motivation

Other

Do you have a budget set aside for student programs or guest speakers?

Yes

No

Unsure

Technology Available?

Select all that apply.

Projector

Microphone

Speakers

None

I am authorized to request a school visit on behalf of my school

Yes

No