Request a presentation from NGEMC
Fill out the below form to request a Hazard Hamlet, line worker, or career presentation by NGEMC for your classroom or organization.
Name
First Name
Last Name
School or Organization
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Grades/Age Range
Preferred Date of Presentation
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Secondary Date for Presentation (If your first choice is unavailable.)
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of presentation
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Topic of Presentation
Hazard Hamlet Safety Demonstration
Line Worker Equipment Demo
EMC Careers/ Job Opportunities
Agenda: For presentations to multiple groups or classrooms, career fairs, or other events please provide a brief agenda of the day, including the timing approximate timing between presentations.
Submit
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