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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 qualified 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.
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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 DetailsOrganiser’s 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
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):
