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Victim Services Toronto | T.E.A.R. Presentation Request Form
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T.E.A.R. Presentation Request Form

    Contact Information

    Name*

     

    Position*

    Address & Contact Information

    School Name*

    Address*

    Phone Number*

    Cell Number

    Email*

    Presentation Request

    Grade*

    Total number of students*

    Gender of students attending the T.E.A.R. presentation?*
    Female onlyMale onlyCo-ed

    Special needs?*
    YesNo

    If yes, please specify

    Location*
    CafeteriaClassroomGymAuditorium

    Equipment

    The T.E.A.R. Presenter will bring their own laptop, projector, and speaker to the presentation. The Presenter will require a screen/blank wall and a microphone for groups larger than 200 people.

    Screen*
    YesNo

    Microphone*
    YesNo

    Date and Time Request

    Please provide three possible dates and times for the T.E.A.R. presentation. The presentation is 60 minutes long and it is suggested that you allow 70 minutes for the presentation. Your requests will be reviewed within 3 business days and we will try our best to accomodate your schools needs.

    Request 1

    Presentation Date 1*
    / /

    Start Time*
    : :

    End Time*
    : :

    Request 2

    Presentation Date 2*
    / /

    Start Time*
    : :

    End Time*
    : :

    Request 3

    Presentation Date 3*
    / /

    Start Time*
    : :

    End Time*
    : :