Lessons From The Gridiron

 School Program Worksheet

We want this presentation to be effective and tailor made to meet the needs of your school or organization.  To better maximize the time spent together, it is important that Joe understands your group and its objectives.  Please fill out the following questionnaire along with this cover sheet and MAIL to:

ORGANIZATION/SCHOOL: __________________________________ 

CONTACT:   _______________________________________ 

CONTACT PHONE: _________________________________ 

CONTACT E-MAIL: _________________________________ 

CONTACT FAX: ____________________________________ 

APPEARANCE DATE: _______________________________

 We like to know as much about your group as possible.  Does your school or group have a website for us to review?  If so please list here:

 ________________________________________________________________________

Thank you, we will be contacting you shortly after we review your information.

 
What is the theme of your assembly/meeting?  _________________________________

 ________________________________________________________________________

What are your goals for this assembly/meeting? _________________________________ 

________________________________________________________________________

How long would you like Joe’s presentation to be?  ______________________________

What will this group be doing immediately before and after my presentation? _________ 

________________________________________________________________________

Who will be attending: 

Number of people_________            What are the age/grade ranges? ___________________

In a few brief words describe the strengths and weaknesses of your school. ___________ 

________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

What are some challenges or problems that your school or group faces? 

 ________________________________________________________________________

 ________________________________________________________________________

________________________________________________________________________ 

________________________________________________________________________

Please list the top three issues you would like Joe to touch on:

             1)________________________________________________________________

             2)________________________________________________________________

             3)________________________________________________________________

Please feel free to make any comments or suggestions that will enhance the presentation:

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

What is the set up of the meeting room?

             Banquet_____             Theater_____              Board Room_____            Other_______

What audio-visual aids can you provide? 

            Projector_____            Flip Chart_____            Microphone_____    Overhead_____

Thanks for your help.  The more we know about the group, our time can be spent more effectively.  Joe is very much looking forward to speaking with your organization.