Presentation/Workshop Request Form Thanks for your interest in Gems - - PDF document

Last Updated 9/18/2017

Presentation/Workshop Request Form

Thanks for your interest in Gems of Hope. To book a custom presentation/workshop (within a reasonable distance the Gems of Hope offices), we suggest that you have at least eight as a minimum number of participants for the size of your group. Our workshops are best suited for

• adults. If you are looking for an activity to accommodate kids or teens, please contact our office

(office@gemsofhope.com) about checking out an activity kit. Please be open and prepared to assist Gems with whatever our biggest needs are at the time of your event. This could be the production of gifts, packaging or assembly, product preparation, etc. If you are requesting a workshop for a corporate team-building event or retreat, we ask that you make a $25.00 donation to help offset the cost of consumable supplies. Is this your first Gems of Hope Custom Workshop? □ Yes □ No Group/Organization: __________________________________________________________ Your Name: __________________________________________________________________ Date of event: _______________________ Time: ___________________________________ Contact person: __________________________ E-mail: _____________________________ Phone: (H) ___________________ (W) _____________________ (C) _______________ ฀ Presentation only ฀ Presentation and workshop ฀ Gift Making/Preparation Workshops ฀ Anticipated Number in Group _______________________________ Location/Address: ______________________________________________________________________________ __________________________________________ ___________________________________ Directions: ______________________________________________________________________________ ______________________________________________________________________________ Special Instructions: ______________________________________________________________________________ ______________________________________________________________________________ Do you have:

□ screen □ projector □ sound system

Last Updated 9/18/2017

Request for Volunteers Sent: Date_______________________ Available Volunteers: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Confirmation: email_____ phone call_____ Date_______________________

□Conference room reserved if event taking place at Gems of Hope office.

Date_______________________

Outcome

Number Attended: _______ Thoughts: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Product Quantities Produced: earrings ____ cards ____ bookmarks ____ Interesting Questions: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Did Time Run Over or Under? ______________________________________________________________________________ ______________________________________________________________________________ Should Gems follow up with:

□ Fundraising □ Sponsorship Support

Office Use Only Date Received _____________

Last Updated 9/18/2017

□In kind donation request □Other, please specify: