Presentation Request Form
Proposed Presentation Date
Number of Presentations
Type of Event
Health Fair & Testing
Presentation & Testing
Time Allotted Per Presentation
Organization and Participant Information
Organization/Group requesting presentation(s)
Location of Presentation(s):
Age Range of Participants:
Approximate Number of Participants:
Type of Group:
Grade level, group theme, etc.
If participants are 16 years of age or younger, is a parent/guardian permission form needed?
What role will young people have in planning activities?
Have participants had an HIV/AIDS education?
If yes, please describe
Native Hawaiian/Pacific Islander
American Indian/Alaska Native
Language to be used in presentation:
Any special concerns or sensitivities related to HIV/AIDS education?
Planning Your Session
Equipment available at proposed presentation site:
VCR and monitor
Choose the Topic of the Presentation
HIV/AIDS - For us to achieve the goals of the National HIV/AIDS Strategy all community members need accurate information regarding HIV/AIDS.
Sexual Health - The promotion of sexual health requires specific information and attitudes to avoid unwanted consequences of sexual behavior.
Community Resources - Understand the full value of your community’s resources by learning about the work done at Project ARK and The SPOT.
Choose the Specific Workshop(s) for the Presentation based on the chosen Topic:
Please keep in mind that each workshop will last at least 45 minutes.
Myths vs. Facts
HIV Prevention Skills
Check box if condom demonstrations are acceptable
Sexually Transmitted Infections
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