IOOV Presentation Request - 2020
Thank you for considering us to present at your event. Please fill out the following questions so we can book you right away. Presentation requests need to be submitted at least one week before the date of presentation for a confirmation.

This presentation is intended for an adult audience. If you are looking to find presenters to speak in the middle or high school setting, email us directly so we can connect you to the closest NAMI affiliate .

***We can ONLY offer IOOV presentations through an online platform at this time.***
Name of organization and/or person requesting an IOOV Presentation:
Your answer
Are you looking for presenters to speak at your organization multiple times a month? *
What day would you like us to present? *
MM
/
DD
/
YYYY
What time would you like the presentation to start? *
Time
:
Street Address/City/ZIP of organization *
Your answer
This Signature program requires two scheduled presenters. How much time is allotted for the IOOV presentation: *
Type of audience (i.e. college health class, youth group, DMH...) *
Your answer
# in attendance:
Your answer
Are you requesting Spanish speaking presenters?
Day of CONTACT Information
Just in case our presenters need to contact someone, please leave the contact info of the person/s that will be there the day of the presentation.
Name: *
Your answer
Email Address: *
Your answer
Cell phone #: *
Your answer
Additional day of contact/s (name, cell, email)
Your answer
Additional comments or requests, such as peers with specific life experiences or an IOOV presenter you prefer to work with (you can request a person/s and they get priority but have to make sure they are available):
Your answer
Thank you for your request!
*RED* asterisk you have to complete in order to submit the request
Needs to be filled out in order to submit application.

If you have any further questions, feel free to contact our IOOV Program Coordinator:
Sally Sagario
949.274.9728
sally@namilaccc.org
If you are new to our program, here is a preview of one the videos we use during the IOOV presentations.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy