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
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:
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?
Own Who U R - Consent, Cyber Bullying, & Tech Safety, 1 SESSION (Middle & High School)
Consent Is Everything- SV 101, Consent, Bystander Intervention, 1 SESSION (Middle & High School)
Shifting Boundaries - Laying the Groundwork for Consent - 4 SESSIONS (Middle School)
Code RED - Drug Facilitated Sexual Assault awareness, 1 SESSION (High School & College)
Healthy Masculinity, 1 SESSION (Middle School, High School, Community)
Bystander Intervention Techniques, 1 SESSION (High School & College)
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
. Thank you!
Send me a copy of my responses.
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