Request Form: Community Education Presentation
Please complete this form if your organization would like to receive the "Duty to Report and Support" presentation from our Agency.

This presentation is offered in-person or virtually on Zoom, Teams, or other online platforms.
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Your Organization's Name: *
Address: *
Requested presentation date: *
Notice of at least 10 business days is required.
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Requested time: *
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Requested alternate date 1:
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Requested alternate date 2:
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Who is the audience for this presentation? *
(i.e. Teachers, daycare providers, parents, healthcare workers, doctors, etc.):
Language of the audience: *
Please indicate how your organization would like to take part in this presentation: *
Required
If "In-Person" please specify where (include address and postal code).
If "other" please indicate which virtual platform you use:
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