Step Up Presentation Request
Thank you for contacting us to request a presentation. Our presentation is approximately 30 minutes in duration and talks about what it means to be an active bystander, when to intervene, and how to intervene.

Please complete the fields below. We do out best to accommodate the requested date and time but rely on volunteers to give presentations. Please note: presentations are not considered confirmed until you have received an email from Kevin Carmody or Kaitlin Zies confirming the date, time, and location.

Your Name:
Your answer
Your Position/Role at Ferris:
Your answer
Your Ferris Email Address:
Your answer
Contact Phone Number:
Your answer
Requested Date of Program:
MM
/
DD
/
YYYY
Requested Time of Program:
Time
:
Requested Location of Program:
Your answer
Expected Number of Students:
Your answer
Please tell us a little more about the audience of this presentation (are they members of a RSO, what type of class is it, is this part of a bigger event, etc.)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms