RODS Presentation Request We appreciate your interest in connecting with RODS Community Connection Program. Please note that while not all requests can be fulfilled, the Community Connection Worker will follow up regarding your newcomer service provision needs. OK Question Title * 1. What is your Organization/Department Name? OK Question Title * 2. Organization Type (please select) Community Organization Government Department Healthcare Other (please specify) OK Question Title * 3. Briefly describe the type of services you provide: OK Question Title * 4. Where is the desired location for the presentation? Regina Open Door Society building Alternate Address (please specify) OK Question Title * 5. Which of the following areas(s) would you like the presenter to address? Immigration Statistics and Terms Newcomer Challenges and Contributions Regina Open Door Society Program and Services Bridging Cultural and Language Barriers Other (please specify) OK Question Title * 6. How many people do you expect to be in attendance for the presentation? OK Question Title * 7. Approximately how many newcomers do you serve per month, and per year? OK Question Title * 8. Have you experienced an increase in the number of newcomers in the last 3 years? No Yes, slight increase Yes, significant increase OK Question Title * 9. What (if any) programs do you currently have specifically for newcomers? OK Question Title * 10. What are some challenges you encountered in working with newcomers? (i.e. interpretation, etc) OK Question Title * 11. Do you have an existing partnership with RODS? if Yes, please explain: If No, would you be interested in discussing partnership possibilities? OK Question Title * 12. Do you have funding to provide one or more of the following support services? Childcare Transportation Interpretation/Translation None of the Above Other (please specify) OK Question Title * 13. Do you give permission to RODS for the following: Add your Organization name and contact information to internal database No permission is given OK Question Title * 14. Follow Up Contact Information: Contact Name: Address: Phone: Email: OK Thank you for your interest, RODS Community Connection Worker will be in touch shortly to confirm whether a presentation can be arranged. OK DONE