Request a Public Workshop Speaker or Information Table Request Form Please note: we appreciate two – six weeks’ notice for speaking requests. Thank you for your consideration. Name: * Required First Last Organization or Group: Email: * Required Phone Number: * RequiredDate of Event: - must be mm/dd/yyyy format MM slash DD slash YYYY Location of Event: Number of Attendees: Please select which area you would like your presentation to be in: * Required Chatham-Kent Sarnia-Lambton What are you looking for? An information table A presentation about our services at CMHA Lambton-Kent / ACCESS Open Minds A mental health awareness presentation of your choice (please see options below) Information about a specific CMHA program Speakers Bureau - individual(s) with lived experience of mental illness Certification Training Courses (please see options below) If you requested a presentation from our Mental Health Promotion Specialist, please select a topic: Mental Health Awareness (60 min) Mental Health in the Workplace (60 min) Understanding Mental Illness (60 - 90 min) Speaker with Lived Experience (60 - 120 min) Understanding and Coping with Stress (30 - 60 min) Chronic Illness and Mental Health (60 - 90 min) Note: length of presentations can be altered to fit your needs.Certification Training Courses (Note: fees apply for the following training courses) Mental Health First Aid Mental Health Works safeTALK Who will be in the audience? (Please check all that apply) Service providers / volunteers Family members / caregivers Students Business / staff General public / mixed If there’s any other information you would like to share about your upcoming event, please enter it below:
