Superintendent Scheduling Form

* required field

This form is to request time with the superintendent of public instruction. Requests will be responded to within one to two weeks. Please provide us with as much information as possible and we will follow up with you.

Who is placing the request?

Please provide contact information for the person or people requesting the meeting or event.

If applicable, please provide the name of the organization you are requesting on behalf of. Use "none" if this does not apply.
Please provide the best phone number to reach the contact person where questions about this request can be directed.
Information about the Event
Please provide the name of the event if it applies. If it is an individual meeting indicate who the meeting will be with.
Please provide some background information about why you are requesting the state superintendent for this panel or discussion and also include who else you expect to be at the event.
If your date is already established, please provide that along with the timeframe you'd like the state superintendent present. If your date is flexible, please provide multiple options for potential dates for the event.
Please list any additional guests who will be in attendance. Enter n/a or no additional guests if this is a request for one person.
Do you expect media to be present or cover your event?