SFILEN Community Speaker Request Form
Thanks for your interest in having our community-based organizations conduct a workshop at your office/classroom/community space. This form will help us better understand your needs and tailor our presentation to maximize its benefits for your audience.
First and Last Name *
Email Address *
Phone Number
Name of Organization
Please describe the audience for the workshop.
How many audience members are expected?
Please select from the following list of workshops that you would like us to bring to your location *
Required
Clear selection
Language Needs?
Clear selection
Please share the optimal times for the presentations.
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Clear selection
Please provide THREE separate dates for the presentation within the next 2-3 weeks from when filling out this form
Additional Comments
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