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American Gateways Outreach Request Form
Presentation/Information Session
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* Indicates required question
Name of requesting agency or organization
*
Your answer
Point of contact's name
*
Your answer
Email address of point of contact
*
Your answer
Format of presentation
*
In-Person
Virtual
If requesting an in-person presentation, where will the presentation be held?
Your answer
Please briefly describe the intended audience (e.g. students, immigrant families, service providers, law enforcement).
*
Your answer
What is the topic you would like to be covered in the presentation?
*
Know Your Rights (KYR) & Safety Planning
Immigration 101
Citizenship
Immigration Relief for Survivors
DACA
American Gateways Services
Tabling
How many people do you expect to attend?
*
Your answer
What language would you like the presentation in?
*
English
Spanish
Please list at least 3 dates and times your group is available. (Note: presentations generally last 1.5 - 2 hours)
*
Your answer
Any other information you'd like us to provide at the presentation?
Your answer
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