First Name
Last Name
Email
City/Town
Province/Territory
Name of Company/Organization/School/Other:
Are you already a member of Legacy Schools or Legacy Spaces?
Yes
No
Please provide a short description of your request:
What is the date?*
If the date is flexible, please indicate preferred dates:
Is this a request for a presentation?
Yes
No
If yes:
Preferred presentation length:
Proposed topic:
Virtual or In-person:
Virtual
In-person
Is this a request for an event?
Yes
No
If yes:
What is DWF’s role in the event?
Virtual or In-person:
Virtual
In-person
Are there going to be media/marketing opportunities for DWF to promote our work?
Do you have a budget for the presentation/event?**:
Tell us about the audience including the anticipated attendance:
Tell us about your reconciliation journey. What work, if any, has been done in this area previously?
Please provide additional details about your request (if applicable):