Program Request Form - Schools/ Colleges
Our VOICE school programs are designed for 6th-12th grade and college-aged students. We provide programs free of charge to public schools and request $300 for all other institutions, on a sliding scale. Please contact Julia at julias@ourvoicenc.org to discuss discounted rates if this price is beyond your budget. We strongly believe financial challenges should not restrict anyone’s access to these programs. Please visit our website for more information: https://www.ourvoicenc.org/programs/prevention-education-outreach/
Email address *
Name/ Title *
School Name *
Phone Number *
Ideal date(s) for hosting program *
Ideal time(s) for program to start *
Age range of program participants *
Location: where will the program be held?(please include details on parking, bldg/ room numbers, security protocols, etc) *
Which program are you requesting? *
Required
How many attendees do you anticipate? *
Approximately how long is each class/ session time? *
Are there any special needs or accommodations we should be aware of?
Have there been any conditions or recent incidents we should be aware of? (If so please describe)
Can you provide any of the following?
Day-of Contact Info (if different from above)
What else do you feel we should know to help make this program as effective and impactful as possible?
We're happy to answer any questions, please contact Julia at julias@ourvoicenc.org. Thank you!
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