Lifeprint Workshop Planning Form

Below is a simple form we can use to make sure you get the best possible results from me and your workshop.
Please fill this out and paste it into the body of an email and send it to me.  Thanks! I look forward to working with you.
-- Dr. Bill
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William G. Vicars, EdD

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Program or Event:
Workshop Title:
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Start and end dates of event:
Duration (how many days / hours):
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Name of sponsoring organization:
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Organization Information
Full physical mailing address:
Name and title of primary contact person:
Text / mobile phone:
Other phone:
Videophone if available:
Email:
Name and title of a backup contact person:
Text / mobile phone:
Email:
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Address of presentation (if different from Organization address.)
Name of building:
Which room?
Parking instructions? Is there a fee?
Special driving instructions: Are there any current road closures?
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Nearest Airport:
Recommended hotel and/or sleeping accommodations:
Recommended Car Rental:
Type of currency?: US dollars accepted?
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Expected number of people in audience:
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Equipment available:
_____LCD Projector
_____Whiteboard
_____Table
_____Internet connection

Other:
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Presentation Goal:
Upon completion of the workshop, what change or benefit do you want to have occurred in the participants?

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