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We are unable to accommodate requests within 7 days of the requested date, and cannot guarantee the ability to cover requests submitted less than 14 days in advance. We cannot guarantee a specific speaker.

Presentation Request

First Name *

Last Name *

Today's Date

Phone *

Email *

Company/Organization Name *

Address 1 *

Address 2

City *

State/Province *

Zip *

Organization Type

Elementary School
Middle School
High School
College/University
Hospitality/Hotel/Casino
Community Agency
Medical Provider
Law Enforcement Agency
Public/Community Member
Other

If other, please explain.

Presentation Information

Presentation Topic (check all that apply) *

Care for Kids: Program for Pre-K through 2nd Graders on feelings, bodies (using anatomically correct terms), babies, asking for permission, and asking for help. [5 day program, 50 min. per class]
We Care: An interactive program for 3rd-6th graders on building healthy relationships and boundaries. [5 day program, 50 min. per day]
Child Assault Prevention Program: A presentation for 1st-3rd graders on their rights to be Safe, Strong, & Free from all harm including harm by bullies, strangers, and people they know. [1.5 hrs.]
YourSpace: An interactive program for 8th-12th graders on unhealthy relationships, preventing victimization, and how to be an active bystander. [5 day program, 50 min. per day]
Enough Abuse: A presentation for parents, youth-serving professionals, and other concerned adults to prevent people from victimizing children and youth. [1 hr. - 4 hrs. depending on allotted time]
SA 101: A presentation for adults on defining sexual violence, perpetrators, consent, and how to help individuals impacted by sexual violence. [1.5 hrs. - 2 hrs.]
Human Trafficking 101: A presentation for all adults and professionals on the dynamics of human trafficking and exploitation. [1.5 hrs.]
Naloxone Training: A presentation for all community members on identifying substance abuse issues and administering Narcan. [1 hr.]
Stay S.A.F.E : A training partnered with the LVMPD for security, food and beverage, and other hospitality professionals on how to recognize predatory behavior and vulnerable individuals. [2 hrs.]
Other

If other, what topics or areas do you specifically want addressed?

Language Needs Other than English

Expected Audience Size *

First Choice Presentation Date and Time *

Second Choice Presentation Date and Time *

Third Choice Presentation Date and Time *

Equipment/Materials available for use at presentation site (check all that apply)

Laptop (Mac/PC)
Internet Access
Microphone
Television/Projection Screen
Dry Erase Board
PA System/Speakers

Is parking provided? *

Yes
No

How much time do we have for the presentation?

If other, how long will the presenter have?

Location and Parking Information

What would you like your group to gain from this workshop?

How did you hear about us?

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Presentation Request

Presentation Information

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