Event Booking

Step 1 of 5 – Tell Us About Your Group / Organization

20%

• Name of Organization / Group
• Your Name
  
  First
  
  Last
• Title / Role
• Phone Number
• Email
  
• Audience Description
  • Professionals
  • Community Group
  • Students
  • Other (please specify)
• Please specify
• To what extent is your audience familiar with the topic of sexual violence?
  • Not Familiar
  • Somewhat Familiar
  • Very Familiar
• Background information or context for the request

• Workshops
  • 
    Intimate Partner Sexual Violence*
  • 
    Child Sexual Abuse & Responding to Disclosures*
  • 
    Sexual Assault & Responding to Disclosures*
  • 
    Sexual Harassment in the Workplace
  • 
    Finally People Are Talking
  • 
    Men & Sexual Violence
  • 
    Sexual Violence & Anti-Oppressive Practice
  • 
    Re-Thinking Prevention
• * Indicates availability of 1 hour practice component. Please indicate here if you would like to include this with your request.*
  • Yes
  • No
• Multi-Session Programs
  • 
    Who Do You Tell™
  • 
    Birch Grove
  • 
    Man Enough?™
• Facilitated Discussions
  • 
    Sexual Violence in the Media
  • 
    Sexual Violence Activism: Self-Care & Hope
  • 
    #metoo: A Year in Review
  • 
    How to Be An Ally
  • 
    You Are What You See
  • 
    “Boys Will Be Boys”
  • 
    Custom, please specify
• Please Specify*
• Events
  • 
    Booth
  • 
    Other, please specify
• Please Specify*

• Preferred location
  • 
    CCASA Training Centre (910 7th Ave SW)
  • 
    Online [Zoom]
  • Other, please indicate address
• Indicate Address Here
  
  Street Address
  

• Date: Option 1
  
  Date Format: MM slash DD slash YYYY
  
• Time of Day: Option 1
  • Morning
  • Afternoon
  • Evening
• Date: Option 2
  
  Date Format: MM slash DD slash YYYY
  
• Time of Day: Option 2
  • Morning
  • Afternoon
  • Evening
• Date: Option 3
  
  Date Format: MM slash DD slash YYYY
  
• Time of Day: Option 3
  • Morning
  • Afternoon
  • Evening

• Follow Up

  The next step in the booking process is to schedule a follow-up with an Educator. Follow-ups take about 15 minutes to complete, and are used to gather relevant information so that we can collaboratively determine how to best support your group. The questions that will be covered in the follow-up can be found in the last section of this form. Please let us know your preferred follow-up time, and method. Once received, a CCASA staff member will contact you to confirm the follow-up date and time.

• Preferred Meeting Format:*
  • Phone
  • Zoom
• Follow-up Date: Option 1
  
  Date Format: MM slash DD slash YYYY
  
• Follow-up Time of Day: Option 1
  • Morning
  • Afternoon
  • Evening
• Follow-up Date: Option 2
  
  Date Format: MM slash DD slash YYYY
  
• Follow-up Time of Day: Option 2
  • Morning
  • Afternoon
  • Evening
• Follow-up Date: Option 3
  
  Date Format: MM slash DD slash YYYY
  
• Follow-up Time of Day: Option 3
  • Morning
  • Afternoon
  • Evening