INQUIRY FORM
If requesting more than one workshop, presentation, training, please submit additional forms.
Email address *
Name of primary contact *
Your answer
Name of school or organization *
Your answer
Address of school or organization *
(i.e. 228 S. Wabash, Chicago IL)
Your answer
Phone Number of primary contact *
(i.e. 777-333-333)
Your answer
E-mail address of primary contact *
Your answer
What type of workshop/training/presentation/informational are you requesting? *
Required
Please provide more details regarding your desired topic *
(Specific focus, questions, concerns)
Your answer
Anticipated date(s) for requested event attendance *
(i.e. 12/23/18, Fall Semester, or TBD)
Your answer
Please select preferred language *
Estimated number of participants *
(i.e must be more than 10 attendees)
Your answer
Based on attendees, would you like the handouts to match the presentation language? *
If mix is selected, please indicate how many handouts per language.
Your answer
Please check the category for attendees that make up your audience *
Required
What is the address and name of host facility? *
Your answer
Does the location have AV/projector
Does the location have WIFI access?
Does the presenter need to bring a laptop?
Presentation vary in length based on content but can be accommodated to fit your need *
(Note: Train the trainer is 3hrs)
Is an honorarium for speakers or training cost fund available? *
If you feel like you don't have the necessary resources do not be deterred from requesting a training! We prioritize undocumented-led organizations and public institutions. Training fees allow us to continue to cover the cost of training materials and resources to be provided to attendees.
THANK YOU!
Now that you have filled out our form, please submit it and we will contact you as soon as they can.

If you have any other questions or comments please list them on the "notes" section right below.

Thank You!

NOTES
Your answer
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