· Web viewGender(s): Parents (if you have ticked this box please also indicated) Age of children:...

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CENTRE FOR EMOTIONAL HEALTH Book a presenter EXTERNAL PRESENTATION REQUEST FORM Please fill in this form and email to [email protected]. We will match you with a presenter who is a trained professional in the area you’d like covered. Presentations are usually 1 hour in length but we are generally able to accommodate most requests so please contact us with your requirements. Fees apply and will be provided upon application. Page 1 of 2 Requested Date of Presentation Preference 1 Preference 2 Preference 3 Location of Presentation Building Name Unit/Room Number/Name Street Number/Name Suburb/Postcode Contact Person Organising the Presentation Organiser Name Position Title Organisation Contact Number Contact Email Today’s Date

Transcript of  · Web viewGender(s): Parents (if you have ticked this box please also indicated) Age of children:...

Book a presenter EXTERNAL PRESENTATION REQUEST FORM

Please fill in this form and email to [email protected]. We will match you with a presenter who is a trained professional in the area you’d like covered. Presentations are usually 1 hour in length but we are generally able to accommodate most requests so please contact us with your requirements. Fees apply and will be provided upon application.

Page 1 of 1

CENTRE FOR EMOTIONAL HEALTH

Requested Date of PresentationPreference 1

Preference 2

Preference 3

Location of PresentationBuilding Name

Unit/Room Number/Name

Street Number/Name

Suburb/Postcode

Contact Person Organising the PresentationOrganiser Name

Position Title

Organisation

Contact Number

Contact Email

Today’s Date

Purpose of Presentation (please provide a brief description of your desired presentation/outcome)Presentation Type (please tick)Anxiety and shyness in pre-schoolers

Anxiety in primary aged school children (7-12 years)

Anxiety in adolescents (12-17years)

Anxiety in children with Autism Spectrum Disorder

Bullying and anxiety

General mental health

Identification and management of mental health disorders

Study Without Stress: for HSC students (Grades 10-12)

Other: (please provide details)

Attendee/Audience DetailsNumber of attendees:

Type of attendees:

Non-teaching professionals (if you have ticked this box please also indicate):

Type of professionals:

Qualification/education level:

Teachers (if you have ticked this box please also indicate):

Primary school:

High school:

Students (if you have ticked this box please also indicate):

School Grade(s):

Gender(s):

Parents (if you have ticked this box please also indicated)

Age of children:

Type of SpeakerPsychologist/Clinical Psychologist

Academic/Researcher

Specific Speaker (please provide name)