Request Form

Contact Information
  1. (required)
  2. (required)
  3. (valid email required)
Details of your request
  1. Educational Format
  2. Audio Visual Equipment Available to Facilitator
  3. Honorarium Provided?
Topics
  1. General Public
  2. Women, Media and Representation
  3. Academic Institutions Primary/ Secondary/ Post-Secondary
  4. Professional Development
 

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Additional inquiries please contact our Public Educator at 519-836-1110 ext. 234 or email wiceducator@gwwomenincrisis.org

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