Workshop Request Form
Thank you for your interest in hiring me to facilitate a workshop! I look forward to working with you. Please fill out to form below to assist me in accommodating your request as soon as possible.
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Organizer name *
Organizer email *
Organization (if applicable)
Tell me a bit about what you hope this workshop will provide for the participants and what prompted you to schedule this workshop
Workshop Topics
All my workshops have the opportunity to follow an experiential model of learning or to be more lecture oriented. I offer life skills workshops, as well as specialized workshops for the arts industry. Please select the workshop you would like to have me facilitate from the list below. You may also explain any specialized topics you would like me to do a workshop. To do so, please select "other" and describe your idea to me there.  
Life Skills Workshop Topics
Clear selection
Life Skills Workshops for Artists
Clear selection
Life Skills Workshops for Arts Educators
Clear selection
How many workshops would you like to host?
Length of workshops
Clear selection
What style of workshop are you hoping for?
Clear selection
Where will this workshop be held?
Clear selection
If the workshop is held in person please indicate the location, or if a venue is required
Demographic of participants (select all that apply)
Clear selection
Expected number of participants
Possible date(s) for workshop(s) (please provide me with a range or as many possibilities as you have)
Thank you!
You will see an email from me shortly to follow up with my availability and thoughts on how to best proceed with organizing your workshop(s) in which you will also receive a quote.

Thank you again for your interest, I look forward to connecting with you!
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