Presentation Request Form
Full Name
First Name
Last Name
Position
Organisation/School
Phone Number
Email
example@example.com
Have you previously engaged with headspace before?
Yes
No
Unsure
If yes, please provide details
Topic you are interested in?
Expected Presentation Duration?
Age range or school year group?
Audience size? (Please provide details of how many participants in the group)
Any relevant demographics that headspace would need to cater to? (e.g. Culturally and Linguistically Diverse young people, Aboriginal and Torres Strait Islander young people, Refugee or Newly arrived young people etc).
What outcomes would you like us to achieve?
Please note
Enquiries and bookings are reviewed to ensure the best possible experience for the target audience. We will be in touch to discuss content and logistics of the presentation. headspace Ashfield provides interactive community presentations that are of a general nature with a health promotion focus. We are unable to provide therapeutic sessions or group counselling. If you have young people who require psychological support we suggest calling the Centre on 9193 8000 and speak with a Clinician during business hours.
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