Presentation request form

Centre for Human Rights Research speakers bureau presentation request 

To book a CHRR presentation, please email the following information to the Speakers Bureau co-ordinator at chrrspk@umanitoba.ca. We thank you for your interest in our program. The co-ordinator will contact you to confirm the details of your requested presentation.

Contact Information

School/Organization: ____________________________________________

Contact Person:  ________________________________________________

Phone Number:  ______________     

Email address:  _________________________________________________

Best time to Call:  ________________________________________________

The Audience:

Which grade levels/courses will be included?  _________________________

How many students will be in the audience?  _________________________

Presentation Dates

Preferred Date and Time (Please list your top three choices)

  1. _____________________________________________________
  2. _____________________________________________________
  3. _____________________________________________________

The Presentations

Language Preferred:         ____  English                                   ____  French

Preferred topic(s): ________________________________________________

Discussions today with the leaders of tomorrow!

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