SC0335i (07/08/2015) e

Name: Date:

School Name:

School Street Address:

School City: State: Zip:

County:

Daytime Telephone: Ext.:

E-mail Address:

Date: Start Time: End Time:

Information About Event

Setup: Round-robin Set-up (Multiple employers in one space, students rotate table-to-table)

Presenter rotates to multiple classrooms

Students rotate, presenter stays in one classroom

Other, Please Explain:

Number of Presenters Requested:

Number of Presentations Per Presenter:

Number of Students Per Presentation:

Computer

Projector

Smartboard

Tables and Outlets

K-2

3-5

6-8

9-12Additional Information:

This section will be completed by Santee Cooper and returned to you as confirmation.

CAREER DAY PRESENTATION REQUEST

Presenters will have access to:

iNote Required: School Contacted: Volunteers Confirmed:

Volunteers:

Materials Mailed:

Grade Level:

- -

Brandy Incorvia Administrator of Educational Programs

Santee Cooper 305-A Gardner Lacy Road Myrtle Beach, SC 29579

Fax: 843-347-8781 Phone: (843) 347-3399 Ext. 3030

Email: brandy.incorvia@santeecooper.com