ICLE Information Request Form - Eric Sheninger

Please tell us a little about yourself so we can direct you to the appropriate resources.

1. What date was the presentation? *This question is required.

2. If you would like to receive information from ICLE, please provide your contact information below. This information is optional.

First Name
Last Name
District / Organization Name
School Name (if applicable)
Address

City
State
Zip Code
Work Phone

4. Contacting you:

Yes, please have a member of the International Center team contact me about Digital Leadership & Learning.
Yes, I would like to invite Eric to speak at my district or event. Please contact me.

5. PLEASE PROVIDE YOUR EMAIL ADDRESS IF YOU SELECTED EITHER OF THE OPTIONS ABOVE SO WE MAY CONTACT YOU. *This question is required.

By providing your email address, you are granting permission to the International Center for Leadership in Education to contact you via electronic mail. We will not share your email address with anyone and you will be able to opt-out at any time. All email will come from info@leadered.com - please make sure your computer or school network is configured to accept email from this address.

6. Please use the below space to provide any additional information you would like to share.

ICLE Information Request Form - Eric Sheninger - Digital Leadership

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