LAC-DS Outreach Request
Organization of person requesting outreach event/partnership.
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Contact person for outreach event/partnership.
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Email address and phone number for contact person.
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Program topic:
Please indicate your preferred date and time for this outreach/training program. Please give us 3 weeks in advance so that we can best plan for the event.
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Please indicate your alternate date and time for this outreach/training program.
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Where will the event be held?
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How long would you need us there?
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Who is your event audience?
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Please indicate the desired format for this outreach/training program *
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