High School Outreach Initiative: Presentation on Transplantation and Organ Donation
Thank you for your interest in having a presentation on the importance of organ and tissue donation at your school.
To view our Teacher Letter explaining this initiative please view it here:
This initiatives roster of speakers are healthcare professionals from the University of Toronto Transplantation Institute which encompasses the UHN Multi Organ Transplant Program, Hospital for Sick Children Transplant and Regenerative Medicine Centre, and St. Michael's Hospital in Toronto, Ontario.
Due to the popularity of this offering, a minimum lead time of 6 - 8 weeks is required for presentation dates requested.
Please ensure you submit optional dates/times as we may not be able to accommodate your first choice.
High School Name
Please enter the name of the school here.
High School Address
Please enter full mailing address.
Is parking available at the school?
Teacher Contact Name
Person submitting booking and responsible for coordination.
Please enter the main telephone number (and extension if applicable)
Email address connected to teacher contact - main booking details will be communicated via email.
Please enter up to four (4) possible date and time preferences for one booking.
*Schools wanting more than one booking must complete separate booking requests.*
NOTE: A lead time of six (6) - eight (8) weeks is required for all bookings in order to secure speakers.
Every effort will be made to accommodate your first choice.
Average presentation time is minimum 60 minutes (up to 90 minutes)
1. Date and Time Request (First Choice)
2. Date and Time Request
3. Date and Time Request
4. Date and Time Request
Length (in minutes) of class/course
Number of Students in class/course
Grade level and subject in class/course
Audio Visual and Technology at School
Please let us know what technology will be available at your school on the date of the presentation.
This information helps us to provide the best presentation possible to your students.
I have the following available for this event:
School's must have access to a laptop or computer equipped with audio and a projector for display purposes.
Laptop or Computer with Audio
Projector and Screen
Wifi/Internet Access (to download presentation)
Please enter any additional comments here.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service