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

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

Date Received _____________ Office Use Only 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 Last Updated 9/18/2017

□ In kind donation request □ Other, please specify: Last Updated 9/18/2017

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

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

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

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

Request Form: WORKSHOP OR PRESENTATION Please complete this form and return via email to:

Conference Presentation Request Form Please complete all sections of this form and return via

Schools &amp; community workshop or presentation request form Our team provides interactive

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MV HOPE Coalition Healthy Outcomes through Prevention Efforts October 10, 2018 Brent Thompson

CCSD Title I HOPE H omeless O utreach P rogram for E ducation Clark County School District Phone:

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