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Workshops & Speaking Engagement- Interest Form
Thank you for reaching out, please complete the form below and I will be in touch within 2 business days.
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Email
*
Your email address
Name of company or organization
*
Your answer
What is your full name?
*
Your answer
What is your title?
*
Your answer
Website address
*
Your answer
What presentation topic are you interested in?
*
How organization & balance at home can make you more productive at work
How to support anxious children.
How to address non-compliance & defiant behaviour.
How clear expectations can avoid conflict and resentment.
Giving back to the community starts with empathy.
Other:
What age group of children are we looking to support?
*
Preschool ( Toddlers & Kindergarden)
Elementary School (Grade 1 - 6)
Middle School (Grade 7 & 8)
High School (Grade 9 - 12)
When are you interested in hosting this event.
*
DD
/
MM
/
YYYY
How long would you like the workshop to be?
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60 Minutes
90 Minutes
120 Minutes
Half Day Worshop
Full Day Workshop
Would you like to offer an opportunity for Q & A ?
*
Yes
No
Which format are you interested in?
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In-person
Zoom Virtual Service
MS Team
Company platform
Other:
Required
How did you hear about Success in Steps?
*
Friend or Family
Media ( CTV or Rogers Daytime Segments)
Magazine Article
Via a Search Engine (e.g Google, Bing, Yahoo)
Via Social Media (e.g. Facebook, Instagram, LinkedIn)
Other:
If you were referred by anyone, please include their name below.
Your answer
Would you be open to providing a testimonial following the workshop to be shared on our website and other social platforms?
*
Yes
No
It there anything else you would like to share?
Your answer
Thank you for taking the time to complete this form, we shall be in touch within 2 business days.
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