NAMI Franklin County Interest Form: Request a Speaker or Presentation
As part of our outreach to the faith community, NAMI Franklin County provides speakers and presentations to churches, congregations and faith based groups. If you would like to schedule a speaker or workshop presentation, please complete the form below. A staff member will follow up with you to confirm your date and speaker.
Email address *
Please provide the date you'd like to schedule a NAMI Franklin County Speaker or Workshop. *
MM
/
DD
/
YYYY
What is the purpose of the presentation? What would you like your group to learn about mental illness? *
Your answer
Would you prefer a speaker or workshop presentation? *
Please tell us a little bit about the group we'll be speaking to.
Your answer
Please provide the event location (name and complete address). *
Your answer
Who is the event contact person? Please include name, title and phone number (please use the phone number we should use if we need to reach the contact person on the day of the presentation). *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service