Phoenix Center Workshop Request
Thank you for your interest in having the Phoenix Center visit your class! Workshops typically run 75 minutes and are discussion based. We can modify a presentation to fit your class needs and time frame. If you require a shorter or longer presentation, or a tailored curriculum, please tell us in the "Additional Information" section at the end of the form. Once you have submitted a request, a member of the Violence Prevention Education team will contact you to confirm the workshop. Please note that your workshop request is not finalized until a member of our team has confirmed it with you.
Your Name:
Your answer
Your Email Address:
Your answer
What date would you like us to present?
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DD
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YYYY
What time would you like us to present?
Please provide a start and end time for the presentation, keeping in mind that our workshops generally run for 75 minutes. For example: 9:30-10:45am
Your answer
Where is the class located? (i.e. Tivoli 259)
Your answer
What is the course name/code for your class?
Your answer
Approximately, how many people will be attending?
Your answer
Which curriculum would you like us to present?
Full descriptions of each workshop can be found here: www.thepca.org/violence-prevention-education
Does your classroom have equipment for the use of powerpoint presentations (projector & necessary cables)?
Is there any additional information you would like us to know (class dynamics, special circumstances, relevancy to your syllabus, etc.)
Your answer
Do you have any questions for us?
Your answer
Thank You!
A Violence Prevention Educator from our team will contact you shortly to confirm and finalize your workshop request.
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