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Attorney Volunteer Questionnaire for Civic Education Presentations
This form is to collect information about attorneys and judges interested in participating in civic education presentations to students throughout Kansas and Western Missouri.
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Are you interested in presenting to local students on civic education topics?
Yes
No
Clear selection
Where are you employed (name of firm/employer)?
Your answer
What is your full name?
Your answer
What is your phone number?
Your answer
What is your email address?
Your answer
What county and state do you reside in?
Your answer
What distance are you willing to travel to give a presentation to a school near you?
< 10 miles
Between 10 and 30 miles
More than 30 miles
Any, distance does not matter to me!
Would prefer to only present virtually
Clear selection
Are you willing to present to a class virtually?
Yes
No
Clear selection
What age group are you interested in presenting to?
Elementary
Middle School
High School
Preschool
Do you have any specific schools you want to work with? Please provide a list here.
Your answer
Do you know any teachers who would be interested in having presenters come to their school? Please provide their contact information below.
Your answer
Are you available to present on Law Day (observed May 2, 2022-May 6, 2022), Constitution Day (observed September 16, 2022), or both?
Law Day only (observed May 2, 2022-May 6, 2022)
Constitution Day only (observed September 16, 2022)
Both Law Day and Constitution Day
Clear selection
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