Power On Workshop Request Form
Thank you for your interest in a Workshop from Power On! Please enter the details of your desired workshop below.
Before completing our form, please note the following request guidelines:
* Each Module lasts for approximately 1 hour.We request a minimum of 2 weeks advanced notice for all institutions based in the Southern Californian Area and a minimum of 1 month advanced notice for all other locations.
* We request a minimum of 12 and recommend a maximum of 24 participants.
How would you like the workshop to be delivered?
Which Workshop Are you Requesting?
Educators Development Workshop
Parent Coaching Workshop
Youth Empowerment Workshop
On which date (MM/DD/YY) would you like the workshop to take place? If dates are flexible, please describe options.
Where would you like your workshop to be held?
Please include your address
How many participants do you anticipate?
What do you want participants to take away from this workshop?
Name of School or Organisation
Would you like to join Power On's Mailing List?
Receive the latest news on our programs and activities.
Topics of Interest
Social Emotional Learning
Self Advocacy and Expression
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