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NYSHN Workshop/Teach-In/Knowledge Sharing Request Form
This form helps us at the Native Youth Sexual Health Network (NYSHN) better understand what kind of work you'd like us to do together!
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Email
*
Your email
Your Name
*
Your answer
Your Contact Information (
phone, email, etc)
*
Your answer
Community, Organization or Group you are a part of
Your answer
What is the nature of the workshop/teach-in/knowledge sharing you are requesting?
Format, themes, topics, or purpose
Your answer
Are you open to doing any art or multimedia as part of this?
NYSHN has a focus on making things more accessible and fun by doing art and other media. Let us know what you would want to create together
Your answer
Please include logistical information - dates, times, location, number of participants
Your answer
Are the dates you are request confirmed or tentative?
Sometimes we may not be available for the dates you requested - let us know if those dates are flexible or not
Confirmed
Tentative
Flexible
Clear selection
Relevant community issues, current events or other things you think we should know about
Your answer
What is your estimated budget for this?
As we are a community-based organization please indicate travel costs, honorarium and any supplies you have to make this happen
Your answer
Thanks for taking the time to fill this out - we will be in touch soon!
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