FRCD Speaker Request
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Contact Name *
Organization *
Address *
City *
State *
Zip Code *
County *
Email Address *
Phone *
Special Education Training Topic *
Date of Event *
MM
/
DD
/
YYYY
Time *
Time
:
Purpose of Event *
What type of  training do you prefer? *
If Virtual (webinar), would you prefer to use FRCD's Virtual Zoom platform for your training or would you prefer to use your own?
If in-person (on-site), is there parking available for the trainer? *
Number of Parents *
Number of Professionals *
Please choose the language of your presentation. (Please check one) *
Is this event open to the public? *
Is this a paid or free event? * *
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This form was created inside of Family Resource Center on Disabilities.