NAMI VC Presentation Request

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Please complete the presentation request as completely as possible. The program coordinator will contact you to complete scheduling.

Please Note: The presentation request must be processed through NAMI Ventura County. All speaker and presentation scheduling is handled through the program coordinator. Speakers cannot book presentations.

Email *

Presentation Requested:

In Our Own Voice [Audience: Ages 11th Grade-Adult] *Requires 60-90 minutes

Ending the Silence for Students [Audience: 7th-12th Grade Students] *Requires 50-60 minutes

Ending the Silence for School Staff [Audience: Adult School Staff] * Requires 75-90 minutes

Ending the Silence for Parents [Audience: Parents of Students] * Requires 75-90 minutes

Undetermined, Please Advise on Appropriate Program

Do you prefer a presentation via:

Zoom (or other virtual platform)

In-Person

No Preference

Clear selection

Presentation Language:

English

Spanish

English & Spanish Interpretation (Simultaneous Interpretation)

Contact Name

Contact Phone

Organization

Preferred Dates for Presentation

Time of Presentation

Please tell us about the audience: (age, class, profession etc)

How many participants do you estimate will attend your presentation?

Would you like to request a specific speaker?

Thank You!

Thank you for submitting your presentation request to NAMI Ventura County. If you have additional questions or concerns , please contact Kimberly Quinn at kimberly@namiventura.org or (805) 641-2426.

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