Please list your preferred dates and times and a presenter will contact you to schedule your presentation. 

To help us better prepare for the presentation, please check all of the topics that you would like to have us cover during our presentation:

Office Services
Sexual Assault
Dating Violence/Date Rape
Victim Rights
Domestic Violence
Homicide
Violence Prevention/Anger Management
Bullying
Other

Is Audio-visual Equipment available (in the event a PowerPoint presentation is used)?
Yes
No

Specify what is available:
Lap Top Computer
Projector
Screen
Audio/Speakers
VCR
Overhead Projector
Other: