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Prevention Presentation Request Form

Contact Information

Who should we contact about this presentation?


Presentation Information

What kind of presentation are you looking for?

Why would you like to hold a DV presentation? What would you or your organization like to get out of the training?



How much have you allocated for this presentation? Please note that our Introduction to Domestic Violence Training has a 90 minute minimum.

Audience Information

Who will be receiving this presentation?

Please give us a little information about who will be attending. Things like age range, grade, profession, or specialization are all helpful.

Is the audience mandated to be there or is it voluntary? Do they have prior experience or information about this topic?

Location Information

Where will the presentation be held?
If the presentation is virtual, please give us the details over the phone or via email.

Is there any equipment for the presentation already available? This may include laptops, LCD projectors, laptop cords, projection screens, dry erase boards, etc.

Other Information

Anything else we should know?