INQUIRY FORM

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

INQUIRY FORM

If requesting more than one workshop, presentation, training, please submit additional forms.

Email *

Name of primary contact *

Name of school or organization *

Address of school or organization *

(i.e. 228 S. Wabash, Chicago IL)

Phone Number of primary contact *

(i.e. 777-333-333)

E-mail address of primary contact *

What type of workshop/training/presentation/informational are you requesting? *

Immigration 101

Know Your Rights

Know Your Rights for Youth

Workplace Know Your Rights-Employee

ICE Enforcement: Employer Rights and Responsibilities

DACA

Public Charge

Train the trainer

Rapid Response Team Building

Other:

Required

Please provide more details regarding your desired topic *

(Specific focus, questions, concerns)

Anticipated date(s) for requested event attendance *

(i.e. 12/23/18, Fall Semester, or TBD)

Please select preferred language *

Spanish

English

Both

Estimated number of participants *

(i.e must be more than 10 attendees)

Based on attendees, would you like the handouts to match the presentation language? *

Yes

Mixed

Other:

If mix is selected, please indicate how many handouts per language.

Please check the category for attendees that make up your audience *

Students

Parents

Community Residents

School

School Staff

Organizational Staff

Other:

Required

What is the address and name of host facility? *

Does the location have AV/projector

Yes

Maybe

Clear selection

Does the location have WIFI access?

Yes

Clear selection

Does the presenter need to bring a laptop?

Yes

Clear selection

Presentation vary in length based on content but can be accommodated to fit your need *

(Note: Train the trainer is 3hrs)

1 hour

2 hours

3 hours

4 hours

Other:

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.

Yes

Other:

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

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms