Request Education /Training Presentation

Request Education/Training Presentation

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

Name *

First

Last

Organization *

Primary Phone *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Proposed date for presentation:

Month *

Day *

Year *

Possible alternative date for presentation:

Month *

Day *

Year *

Type of Presentation

Type of Presentation *

In-person training Virtual Training Hybrid/In-Person and Virtual

Audience for Training

Audience for Training *

If other, please explain. *

Disabilities (please list generally) *

Presentation Types

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

Select One *

If other, please specify. *

If other, please 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

Address *

Line 1

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