Request a Presentation Name* First Last Title* Contact Person (if different) Contact Person's Title Agency* Address* City State / Province / Region ZIP / Postal Code Email* Phone*What type of presentation or training are you looking for?* Community Presentation Health Class TMEC Presentation Driver Education TMEC Presentation TMEC Instructor Training Building, Agency or Organization Name* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County* What is the desired time frame for this presentation?* Brief Community Presentation 90 - 120 min – Driver Education TMEC Presentation 3 hour – Health Class TMEC Presentation (can be scheduled in increments depending on daily classes or block schedules over the course of 2-3 days) 4 hour – TMEC Instructor Training Please give a specific time frame for a community presentation Do you have any proposed day(s) and/or date(s) for this presentation or training? (This will help us identify availability on the dates requested) Approximately how many youth and/or adults will be in attendance at this presentaiton or training? (Please note, we require a minimum of 15 attendees if you are interested in the 8-hour TMEC Instructor Training. The 15 persons are not required to be from the same agency)* Any additional comments or information you would like us to know regarding this request?
