Request a Presenter - Children Learning through Education And Research Alliance

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?*

Building, Agency or Organization Name*

Address*

Street Address Address Line 2 City State ZIP Code

County*

What is the desired time frame for this presentation?*

Community Presentation
3 hour – Health Class TMEC Presentation (Depending on daily classes or block schedules, this can be split into two or three consecutive days)
2 to 3 hour – Driver Education TMEC Presentation
8 hour – TMEC Instructor Training from 8am-5pm

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?