Pre-Program Questionnaire

Your name

Your title

Day and Date of Presentation

School name

Street Address for Google Maps

City, State, ZIP

Your email

Emergency Contact (name, email, cell)

Your cell phone number (for Laura to reach you in an emergency)

SCHOOL COLORS

Who will meet Laura and John Stack in the front office 30-45 minutes before the assembly to escort us and what is that person's email address?

Instructions on Where to Park

Where will the assembly take place (auditorium/gym)?

Who will meet us to set up the AV and what is that person's email address? (download AV requests here: https://johnnysambassadors.org/AV/)

What grades (6/7/8/9/10/11/12) will be in attendance?

Approximately how many students is that total?

Who will welcome students, review conduct, and introduce Laura (download introduction here: https://johnnysambassadors.org/wp-content/uploads/2023/05/Laura-Stack-introduction-for-schools.pdf)?

Time students arrive at class to drop items and take attendance

Time dismissed to assembly (please allow 15 minutes for passing)

Assembly start time (1 hour total preferred, NOT counting getting settled)

Assembly stop time

Additional Questions:

What do you think students already know about this topic?

Have you seen problems at school with THC use (vapes/dabs/smokes/edibles)?

What do you specifically want to make sure Laura talks about?

Any other comments or information to share with Laura?

Please click Submit below, and Laura will receive a copy of this form. We can’t wait to see you soon!

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