84 Staff will join you for thought provoking conversations, honest reflections and deep learning .
Please note that this interest form does not guarantee a workshop. Space is limited to a first-come, first-serve basis and staff availability. We will do our best to accommodate your request. 
The limit for workshop attendance is capped at 30 youth. Please request two separate trainings to accommodate groups larger than 30. 

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* 1. Chapter name

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* 2. Chapter address (where will the presentation take place?)

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* 3. Adult advisor

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* 4. Adult email

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* 5. Adult cell phone (we will only use this to contact you on the day of the workshop if necessary)

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* 6. How many youth will attend? (Need an estimate for food)

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* 7. Does your Chapter have any dietary restrictions? Normally we order pizza, but if your Chapter has dietary restrictions that make pizza a poor option, which local restaurant should we order from?

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* 8. Where is the best place for our staff to park?

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* 9. Where does your Chapter meet? Do we need to go to a front desk? Is there a specific room?

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* 10. Choose a workshop (click here for descriptions)

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* 11. Please list possible dates and times that would work for your Chapter. Please provide three dates with AT LEAST THREE WEEKS' NOTICE so we can follow up with you about a potential time.

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Time
Date
Time
Date
Time

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* 12. Do you have access to a projector and screen for a slideshow presentation?

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* 13. Do you have access to audio connection (i.e. speakers for videos)?

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* 14. Please list any other technology capabilities or limitations:

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* 15. Does your Chapter have any accessibility needs?

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* 16. Additional Questions or Comments:

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