Canadian Civil Liberties Education Trust Workshop Request Form

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Thank you for your interest in CCLET's education programming. To request a Civil Liberties presentation for your community group/ staff, please fill out the following form and we will respond as soon as possible.

* Required

Organization Name *

Type of Organization *

Not-for-profit

Community group

Faith-based organizations

Adult education and learning (Including ESL institutions, LINC and other organizations)

Business/ corporate

School (Elementary, High School, College, University)

Other:

Preferred Presentation Date(s) *If possible, please provide a range of potential presentation dates *

This training is: *

For community members/ students/ people who use services in the organization

For professional development purposes/ for the staff

Other:

Organizer: Name *

Organizer: Email Address *

Organizer: Phone Number

Delivery of the presentation:

In-person

Virtual

Clear selection

If this is an in-person presentation, please provide the address of the organization:

If the presentation is for ESL students, please indicate their English level:

Beginner

Intermediate

Advanced

Not applicable

Clear selection

Preferred start time of the presentation *

Time

Preferred end time of the presentation *

Time

Approximate number of participants

Additional instructions or notes

Submit

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