Request Form for Community Presentations and Events Agencies or individuals who want to invite SCS to deliver a presentation to a group or to participate in an event such as an information fair must complete this form. This will allow us to provide the information you need from the appropriate SCS program(s) and cover any questions you may have during the presentation. Once submitted, we will review your request before contacting you to confirm the presentation.Information about the presentation or eventPlease provide information about the presentation you are requesting us to deliver or the event you are requesting us to attend.Organization nameAre you making this request on behalf of an organization? If yes, please enter the name. Type of presentationDo you request that the presenter be present in person or virtually to deliver the presentation or attend your event? In person Virtual Language(s)Select the language(s) of the presentation English French Other(s) Other Language(s)Please specify other language(s) Address of the presentation or eventEnter the address if the presentation will be in person. Street Name Street Number City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code What video conferencing platform will be used for the presentation or event?For example, Zoom or BlueJeans. DatePlease enter the date of the presentation or event. MM slash DD slash YYYY TimePlease enter the time of the presentation or event. Hours : Minutes AM PM AM/PM LengthPlease enter the length of the presentation or event.We recommend that requests for presentations be submitted at least one month in advance, or we may not accept the invitation.Will you record the presentation or event? Yes No About the ParticipantsWho will be attending?This will help us adapt our presentation to the audience. Children or their caregivers Adults or their caregivers Professionals Where are the participants located? Ottawa Ontario Eastern Region Other How many participants will join the presentation or event?ProfessionalsPlease specify the groups of professionals who will attend, as we will be able to adapt the information we present. TopicsDo you have specific topics that you would like to hear about? Children's Case Management at SCS and how to register for this service Adult Case Management at SCS and how to register for this service Developmental Services Ontario Eastern Region (DSOER) and how to register for this service Transition to Adulthood: Important Steps Community Resources (financial resources, summer camps, respite programs, skill development programs, social groups, before and after school programs, etc.) Other Topic(s) Other Topic(s)Please specify the other topic(s) you would like to be covered in the presentation.Contact informationName First Name Last Name PhonePhone ExtensionEmail CAPTCHA
