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Guest Speaker Recommendation Form

Okemos Public Schools

Guest Speaker Recommendation

 

For Sexual Health Education, Reproductive Health, Family Planning, etc. 

Return completed form to Supervisor of Reproductive Health, Chippewa Middle School

 

 

Name of Teacher                                                                                                                            

Name of Class                                                                                                                                 

Name of recommended Speaker                                                                                                   

Phone                                                                                                                                               

Address                                                                                                                                              

                                                                                                                                                         

Credentials of Speaker                                                                                                                    

                                                                                                                                                         

                                                                                                                                                         

Topics and Relevancy to Okemos Sexual Health Education Curriculum

                                                                                                                                                         

                                                                                                                                                         

                                                                                                                                                         

                                                                                                                                                         

Speaker recommendation reviewed by the Okemos Health and Sex Education Advisory Board on (date)

__________________________________________________________________________________

  • Speaker was approved     Speaker was not approved