Organization Name (required) Contact Name (required) Contact Email (required) Telephone number Location/address where the presentation will be held Preferred dates and times Target group for the presentation Immigrant Community MembersAgency StaffOther Estimated size of group: What topics would be most helpful/relevant to your group? Preferred language: EnglishSpanish Preferred length of presentation Will there be other speakers or presenters at this event? YesNo Will this event be: Limited to our groupOpen to the public Do you have plans to publicize the event? YesNo What audio/visual equipment is available to the presenter? (not required) Additional comments: Please leave this field empty.