Request Education / Training Presentation

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

Address
Proposed Date for Presentation
Alternative Date for Presentation
Audience for Training

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

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

Event Location
Addresss

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

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

Time of Event
Comments or Questions