Presentation Booking Request

Thank you for your interest in a presentation on the importance of organ and tissue donation and transplantation for your class/school.

In partnership with the Trillium Gift of Life Network (Ontario Health), the roster of guest speakers include healthcare professionals from the University of Toronto Transplantation Institute which encompasses the Ajmera Transplant Centre at UHN, the Transplant and Regenerative Medicine Centre at The Hospital for Sick Children, and St. Michael's Hospital Kidney Transplant Program in Toronto, Ontario.
In addition, a transplant recipient, living organ donor, or donor family member will also attend to share their transplant story.

Due to the popularity of this offering , a minimum booking time of 4 - 6 weeks is required for presentation dates requested.
Presentations are booked between September 2023 to June 2024.
Please ensure you submit up to 4 optional dates/times as we may not be able to accommodate your first choice.
 
Presentations are available in-person in Greater Toronto Area (GTA) high schools. Note they may be booked as virtual due to speaker availability.  Schools located outside of the GTA but in Ontario will be offered virtually.

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* 1. How did you hear about us? Select all that may apply.

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* 2. Individual completing the booking form

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* 3. Please select your school board

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* 4. Please enter the high school information below.

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* 5. Materials
Please select additional materials for your students attending the presentation. Materials will be sent in advance to the teacher email to distribute to students prior to the presentation. Materials will be in English but can be requested in other languages.  Trillium Gift of Life Network will courier to your school BeADonor pamphlets in English and Green Ribbons to distribute to your students on the presentation date.

Presentation Booking Details

A booking lead time of four (4) to six (6) weeks is required for all bookings in order to secure speakers. Every effort will be made to accommodate your first choice.

Please enter four (4) possible date and time preferences for one booking. You must hold these dates until you are confirmed with a date/time.

**Should you want more than 1 presentation booking please complete separate booking requests.**

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* 6. Presentation Type

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* 7. How will this presentation take place?

Confirmed virtual presentations will be sent a secured licensed Zoom meeting link to the booking teacher. 
Additional audio/visual may be needed to setup the best experience in a classroom setting. Please ensure your setup works and if needed to schedule a test session for a date in advance.

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* 8. Grade level

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* 9. Subject area - please select all that apply.

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* 10. How many students will attend the presentation? 
You may estimate but final numbers are required in advance of confirmed presentation.

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* 11. Date/Time Preferences
Minimum presentation time is 75 minutes. Please note this is the total presentation time. If your class includes announcements, etc. please ensure speakers will have the full timing. (MM/DD/YYYY)

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* 12. Date/Time Preference 1

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Time

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* 13. Date/Time Preference 2

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Time

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* 14. Date/Time Preference 3

Date
Time

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* 15. Date/Time Preference 4

Date
Time

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* 16. Please enter any other information helpful for this booking request.

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* 17. Would your class/school be interested in participating in call to action projects (for transplant and organ donation) that may be available? These can include pitch competitions, education opportunities, and video submissions.

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