Request Form: Community Education Presentation
Please complete this form if your organization would like to receive the "Duty to Report and Support" presentation from our agency.

For the safety of everyone, this presentation is offered virtually on Zoom, Teams, or other online platforms.
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Your Organization's Name: *
Address: *
Requested presentation date: *
Notice of at least 10 business days is required.
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Requested time: *
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Requested alternate date 1:
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Requested alternate date 2:
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Who is the audience for this presentation? *
(i.e. Teachers, daycare providers, parents, healthcare workers, doctors, etc.):
Language of the audience: *
Please indicate which virtual platform your organization will use for this presentation: *
Required
If "other" please indicate which virtual platform you use:
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