PRESENTATION REQUEST FORM

The Canadian Cancer Society is a charitable organization that relies on donor dollars to fund presentations. If your organization is booking a presentation, please consider making a donation to the Canadian Cancer Society.

Guidelines

  • Requests should be submitted at least 2-3 weeks prior to your event.
  • A minimum of 25 participants is required for a presentation.
  • Presentations will be approximately 30-60 minutes including a Q&A session.

 

Will you be making a donation to the Canadian Cancer Society?      Yes        No

 

Which of these topics interest you?

Living a healthy lifestyle:  


Early detection of cancer:   


General cancer information:    


Learning about the Canadian Cancer Society:    


Please provide additional detail about the topics you selected above or other topic(s) you would like covered:  


 

Please tell us about your current workplace policies

Does your organization have any policies that encourage healthy behaviours? E.g., meetings must provide a fruit and veggie tray, no pop machines in the building, no use of e-cigarettes, etc.  


How would you like to see the presentation attendees use the information provided?  


 

Please tell us about the audience

Target audience:


Number of people in audience:


Percentage male?


Percentage female?


Average age:


Other information regarding audience:


 

Please provide some information on meeting logistics

Nature of the meeting:


Do you have the following equipment?


Will Internet access available:


Date you'd like the presentation:


Time you'd like the presentation:


Length of presentation:


Location:


Additional information to help us in preparing:


 

Please provide your contact information

Your name:



Organization hosting the presentation:



Your e-mail:



Home phone:


Work phone:


Cell phone:


 

Thank you for your interest in having the Canadian Cancer Society present at your upcoming event. We will contact you within 2 business days to review this request.