American Gateways Presentation & Workshop Request Form

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Thank you for your interest in our work. Please answer the following questions so that we can best prepare a presentation or workshop for your group or organization. The Outreach Coordinator will contact you shortly after submitting your responses.

Name *

Name of your organization or agency *

E-mail *

Address *

Please briefly describe the intended audience (e.g. immigrant families, social service providers, law enforcement). *

What topics would you like to be covered in the presentation? *

Know Your Rights

Safety Planning for Detention/Deportation

Pathways to Residency & Citizenship

Immigration Relief for Survivors of Domestic/Family Violence

Supporting Immigrant Clients/Community Members

Other:

Required

How many people do you expect to attend? *

Please list all languages expected attendees speak. *

Please list at least 3 dates and times your group is available. (Note: presentations generally last 1.5 - 2 hours) *

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