HOTL Training/Presentation Request Form

Training/Presentation Request Form

Hold Out the Lifeline offers a variety of presentations, workshops, and training to bring awareness to public health issues in South Carolina. Please fill out the form to request your presentation, workshop, or training.

Question Title

* 1. Contact Information

Name

Organization

Organization Address

City

State

Postal Code

County

Email Address

Phone Number

Question Title

* 2. Presentation Topic (please choose from the topics below):

Question Title

* 3. What date would you like a presentation?

1st Choice Date

Date

2nd Choice Date

Date

Question Title

* 4. Would you like a virtual presentation?

Yes

Question Title

* 5. Approximate Number of Attendees

Question Title

* 6. Are functional wifi, computer, and projector available?

Yes

HOTL Training/Presentation Request Form

Training/Presentation Request Form

Question Title

* 1. Contact Information

Question Title

* 2. Presentation Topic (please choose from the topics below):

Question Title

* 3. What date would you like a presentation?

Question Title

* 4. Would you like a virtual presentation?

Question Title

* 5. Approximate Number of Attendees

Question Title

* 6. Are functional wifi, computer, and projector available?

Question Title

* 7. Will you be present during this training, presentation, or workshop?

Question Title

* 8. Additional comments and special instructions for the presenter: