subject_line
COMMUNITY & SPEAKER REQUESTS
Presentation Information
Date of Presentation / Event
+
Time of Presentation (if known)
I am open to suggested date
Contact Information
Contact Name
*
Name of Organization
Email Address
*
Telephone
Address / Location of Presentation
Street Address
*
City
*
Prov.
*
Postal Code
Presentation Requested
Please select:
*
Duty to Report
Positive Parenting
Supervision of Children
Parenting in Canada
Starting School in Canada
How the Foundation helps
Social Work as a Career
Career Carousel
Other
Audience
Please select:
*
Children
College/University Students
Professional Organization / Service
Community Group
Parents / New Canadians
Volunteers
Camp leaders
Other
Other
Audience Details (size, grade)
Equipment Available:
Please select:
Projector
Laptop
Microphone
Other
Other
Materials
Please select:
Pinwheels
Brochures
Donation Forms
Other
Other
Special Considerations
Will people with special considerations be attending who may need a modified presentation or interpreter?
ESL / Interpreter
Visually Impaired
Hearing Impaired
Other
Other