Request Education/Training Presentation

Request Education / Training Presentation

Please complete the form below to request a training or education presentation.

Information

Name

First Name

Last Name

Organization

Primary Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Proposed Date for Presentation

Month

Day

Year

Alternative Date for Presentation

Month

Day

Year

Audience for Training

Training Audience

If other, please explain.

Disabilities (please list generally)

Type of Presentation

ADAP offers the following education and training presentations and we regularly consider requests to develop new presentations.

Format of Presentation

In-Person Training

Virtual Training

Hybrid/In-Person and Virtual

Presentation Type

If other, please specify type and briefly describe the subject you are requesting.

Have you spoken to anyone at ADAP about this presentation request/idea? If so, who?

Approximate Number of Participants Expected

Age Range

Location Event

Addresss

Address Line 1

Address Line 2

City

State

Zip Code

Country

Which of the following accommodations/supports are you planning to provide at this training?

American Sign Language (ASL) interpretation

Foreign language interpretation

Resources in alternative format (ex: Braille, large print)

Other

None are applicable

If you selected "foreign language interpretation" or "other" for the above, please describe.

Time of Event

Hour

AM / PM

Comments or Questions

Submit