Book a presentation

What type of presentation are you seeking?

In-person presentation

In person grade-wide assembly

In-person whole school assembly

Virtual presentation

Self-guided or pre-recorded presentation

Contact Information

Name

First

Last

School/Organization Name

Phone

County

School/Organization Address

City

State/Province

Zip/Postal

What prompted you to book your Donate Life Indiana presentation?

IHSAA email or mailing

Indiana Donor Network/DLI email

Conference

Other DLI event

Friend, Family, or colleague

OtherOther

Please provide the name of the conference

Please provide the name of your friend, family, or colleague

Please provide their school/organization

Presentation Details

How many days are you requesting presentations?

How many class periods are you requesting a presentation per day?

What time will the first presentation begin?

What time will the last presentation end?

In which time zone will this presentation take place?

Eastern Standard Time (EST)

Central Standard Time (CST)

What three dates will work best? If you have a flexible calendar, select the checkbox below. Ex: MM/DD/YYYY

I do not have specific dates in mind, my calendar is mostly flexible.

What grade will we be speaking to?

What is the classroom subject? What is the classroom subject?

Is your school/organization closer to Indianapolis, Fort Wayne, South Bend or Evansville?

Indianapolis

Fort Wayne

South Bend

Evansville

How many miles is your school from Indianapolis?

How many students will we educate while there?

How many miles is your school from Fort Wayne?

How many students will we educate while there?

How many miles is your school from South Bend?

How many students will we educate while there?

How many miles is your school from Evansville?

How many students will we educate while there?

Presentation Details

How many class periods are you requesting a presentation per day?

What time will the first presentation begin?

Note: All times selected are in Eastern time.

What time will the last presentation end?

Note: All times selected are in Eastern time.

What three dates will work best? If you have a flexible calendar, select the checkbox below.

I do not have specific dates in mind, my calendar is mostly flexible.

What grade will we be speaking to?

What is the classroom subject? What is the classroom subject?

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Presentation Request

Contact Information

Presentation Details

Presentation Details

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