join us Let’s Work Together Name * First Name Last Name Email * Phone (###) ### #### What services are you interested in? Joining the Working Group Joining Medusa Society Speaking Engagement/Training/Interview Preferred Date Please note: We are working teachers with limited availability. MM DD YYYY Requesting a Speaker? What is your budget? Are you requesting a speaking engagement or training? If so, what is your budget? (note our services are free to public schools and charitable non-profits) How did you hear about us? Option 1 Option 2 Message * Please introduce yourself. Please include information about your organizational affiliation(s) (if applicable), and describe what your vision is for our collaboration. Thank you!
