Representation Request Form
We’re excited to provide prevention resources and presence at your event. To help us understand your needs, complete this form and a TRIBE member will reach out to you within 3-5 business days.
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Contact Information
Name of Organization
*
Name
*
First Name
Last Name
Email
*
example@example.com
How did you get this form?
*
Please Select
Email
Social Media
TRIBE
Other (Write in)
If Other:
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Event Details
Please give us as much information as possible to help us determine if we can attend.
What representation is required:
Table
Speaking/Panel
Training
Consultation
Appearance
Interview
Other
If other, provide details:
If tabling, will you be providing the following:
Table
Tablecloth
Event (Name of event, date, location, time, link if possible).
*
Which of T.R.I.G.G.E.R. core values does this event align with?
*
Youth leadership
Equity
Healing
Accountability
Why is it important to have TRIGGER at this event?
*
Comments/Notes:
Questions/Concerns:
Submit
Should be Empty: