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.

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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?

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

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* 8. 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

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

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

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

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* 12. Does your Chapter have any accessibility needs?

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* 13. Additional Questions or Comments:

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