Presentation Request Form
* Required
Requested Presentation
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Child Abuse 101 - Indicators of Child Abuse & Neglect; must be 18 or older to attend; Requires 1.5 hours for presentation
Child Abuse 102 - Effects of Violence on Young Children; must be 18 or older to attend; Requires 1.5 hours for presentation
Child Abuse 101/102 Combo - must be 18 or older to attend; Requires 3 hours for presentation
SIS/Abusive Head Trauma-Professional - Day Care Staff & Law Enforcement; Requires 1.5 hours for presentation
SIS/Abusive Head Trauma-Medical - Medical & Health Professionals; Requires 1.5 hours for presentation
Safe Tots - Combined SIS, Safe Haven, Safe Sleep, Firearm Safety, Water Safety & Know Your Partner/Caregiver - 45 minutes to 1 hr to fit your schedule
Nurturing Healthy Sexual Development - introductory workshop on child sexual development; Requires 2-3 Hours
Zero to Three - designed to help early childhood professionals; Requires 1.5 hours for presentation
Stewards of Children - educates adults to prevent, recognize and react responsibly to child sexual abuse; must be 18 or older to attend; Requires 2 hours for presentation
"I Never Meant" - short movie presentation by the Asante Children's Theatre depicting a day in the life of a family and the stress and frustration that can lead to an incident of physical violence. Topic focuses on adolescent issues. Requires 1.5 hours for presentation.
Bullying Prevention Training - Tailored to fit your audience needs; 45 minutes to 3 hours--to fit your time schedule
Human Trafficking 101 - Tailored for youth, upper middle to high school ages; Requires 45 minutes (ages 14 to 18 years)
What Would I Do? - tailored for upper elementary to senior high school students. Requires 2 hours (either two separate 1 hour classes or one 2-hour class.
Human Trafficking: Myths, Facts, and our Community's Response - Flexible time lengths -45 minutes to 1.5 Hours (must be over 18 years to attend)
Requested Presentation Date
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We will contact you to confirm dates, times, etc.
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Start Time:
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End Time:
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Time Zone:
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Eastern Time Zone
Central Time Zone
Number of Participants:
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must be at least 10 in attendance
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Type of Audience:
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staff, youth, parents, etc
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Organization:
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Address of Training Location:
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City:
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Zip:
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County in Indiana:
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Contact Person:
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Email Address:
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Phone Number:
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Alternate Phone Number:
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Number to reach someone on the day of Presentation:
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Can you provide a Screen or White Board (wall)?
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Yes
No
Required
Can you provide a Computer / Projector with PowerPoint capabilities?
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Yes
No
Required
Directions to Training Location from our office (3833 N. Meridian Street, Indianapolis, IN 46208)
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Please to not direct us to MapQuest or other online map search (it is unreliable)
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If there are any time changes, cancellations etc., please notify Katherine King at
kking.pcain@villages.org
or call 317-775-6439 ASAP
Other Notes:
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