Program Request Form - Adult/ Professional
(Fees May Apply)
Contact Info (Phone/ Email)
Day-of Contact Info (if different)
Ideal date(s) / time for hosting program
Location: where will the training be? Is there parking available?
Which Program Are you Requesting?
Sexual Violence Prevention 101
Ending Sexual Harassment in the Workplace
86 It - Ending Sexual Harassment in the Restaurant Industry (STAFF)
86 It - Ending Sexual Harassment in the Restaurant Industry (MGMT)
Bar Outreach Project: Drug Facilitated Sexual Assault Prevention Training for Bar Staff
Understanding the Gender Galaxy
Tailored Program (fees my apply)
How many attendees do you anticipate?
Are there any special needs or accommodations we should be aware of?
Have there been any conditions or recent incidents we should be aware of? (If so please describe)
Materials you can provide: (We can also bring, if needed)
The estimated cost per program is $250, but Our VOICE tries to provide free or sliding scale access to make our community safer. Are you in a position to offer a donation at this time?
YES! Please send me info about making a tax-deductible donation
We'd like to make an In-Kind donation
We'd like to learn more about hosting a simple fundraiser or benefit for OurVoice
Unfortunately, not at this time
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