Ready For Life Town Hall Presentation Request Form
Complete this form to request a presentation at a town hall session, supporting community learning and engagement.
Contact Information
Full Name
*
First Name
Last Name
Organization / Affiliation
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Presentation Overview
Presentation Title
*
Brief Description (key topics and takeaways)
*
Target Audience (Select all that apply)
RFLA Students
Group CLS Day Program Participants
Parents/Guardians of Day Program Participants
Parents/Guardians of RFLA Students
Staff / Educators
Community Partners
All Audiences
Area of Focus (Select all that apply)
Independent Living
Employment
Social/Communication Skills
Financial Literacy
Health & Wellness
Safety & Community Awareness
Postsecondary Education
Family Supports
Other
Accessibility & Engagement
How will your presentation be adapted for individuals with IDD? ie: using plain language, short sentences, visual supports (pictures, icons, diagrams), interactive elements (hands-on activities, simple polls), and offer multiple formats (spoken, written, and visual) so people can access the information in the way that works best for them.
*
Presentation Details
Length (minutes)
15
30
45
60
Interactive Elements (Select all that apply)
Discussion
Activities
Role Play
Q&A
Visual Supports
Experience
Relevant Experience (include experience with IDD/autism populations)
*
Credentials / Expertise
Worked with Ready For Life before?
Yes
No
If yes, please explain your previous involvement.
Availability & Logistics
Preferred Timeframe
Jan–Mar
Apr–Jun
Jul–Sep
Oct–Dec
Availability (days/times)
Setup Needs (if any)
Projector
Audio
Internet
Materials Space
Other
Alignment with Ready For Life
How does your presentation support independence and inclusion for participants and families?
*
Fees & Services
Do you charge a fee for your services?
*
No
Yes
Open to discussion
Estimated Fee (if applicable)
$0–$100
$100–$250
$250–$500
$500+
Other
What is included in your fee?
Additional Information
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Additional Comments
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