Request Form
Hello. Please take a moment to share basic details about yourself and your request. I use the term "project" to mean presentation, training, or curriculum materials, etc. 

Should you have any questions on how to fill this form, please contact: rubinahalwani@gmail.com 
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Email *
Your Name *
Organization *
Project Type (Select all that apply) *
Required
What is the purpose for this project? *
Who is the the intended audience? *
Why are the goals for this project? *
What is your expected timeline? *
Do you have any questions/comments at this time?
Thank you for your time. I will review your responses and reach out to schedule an appointment to discuss next steps.
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