OHS Classroom Visit Request Form

We prioritize Title 1 School Visits.

Portland Metro Classroom visits are scheduled Mondays, Tuesday & Fridays.

Salem/Keizer Classroom visits are scheduled Wednesdays, Thursdays & Fridays.

Primary Contact/Teacher Information

First Name

Last Name

Phone

School/Program Information

School Name

District Name

Street Address

City

State

Zip Code

Title 1 School?

How many classes want a presentation? (maximum 3 per visit)

Approximately how many students are in each class?

Do any teachers hosting the OHS presenter have any classroom pets?

YesNo

Do you prefer virtual or in-person?

In-PersonVirtual

Does your school have any requirements for a guest speaker? (masks, badge, photo ID, etc.)

Please list any special considerations or accommodations that need to be made for your visit.

Select all applicable grade levels.

Presentation Preferences

Choose a presentation topic. (See website for full descriptions)

Note: Presentation length is 30–45 minutes.
We prioritize Title 1 School Visits.

Portland Metro Classroom visits are scheduled Mondays, Tuesday & Fridays.

Salem/Keizer Classroom visits are scheduled Wednesdays, Thursdays & Fridays.

First Choice Date

First Choice Time

Second Choice Date

Second Choice Time

Third Choice Date

Third Choice Time

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