Colorado Presentation Request Form

Thank you for your interest in scheduling a presentation by a representative of Canine Companions for Independence-Colorado.

  • Before completing the presentation request form, please take a moment to review the following information.

  • Because we depend on volunteers to give presentations for our organization, please allow approximately 2-4 weeks advance notice for presentations.

  • We have volunteers who live throughout Colorado, so sometimes we are able to accommodate requests for presentations in areas outside of Colorado Springs and Denver.

    If you have questions or would like to schedule a presentation, please fill out our online presentation request form, or contact Kim Vossmer at kvossmer@cci.org or 719-260-6151 or 303-462-4646.

  • * required information
     Presentation Request Form 

     
    Please complete this form if you are interested in a representative of Canine Companions for Independence-Colorado conducting a presentation to your organization.
    Name of Group or Business:
    First Name:*
    Last Name:*
    Address Line 1:*
    Address Line 2:
    City:*
    State:*
    ZIP/Postal Code:*
    Email:*
    Phone:*
    How did you hear about us?:
    To give us a better understanding of your needs, please complete the following:
    Time:*
    Preferred Date:*(mm/dd/yyyy)
    Day of Week:
    Type of Group:*
    Audience Type:*
    Number of attendees:*
    Presentation Type:* Booth/Exhibit
    Speaking Presentation
    Demonstration
    Time Allocated for Presentation/Event:* 30 minutes
    One hour
    Other *please explain in Comments field
    Is the presentation location accessible for wheelchair use:* Yes
    No
    Is the presentation:* Indoors
    Outdoors
    Is there a TV/DVD available for showing a short video:* yes
    no
    Will a table be available for displays:* Yes
    No
    Comments:
    Thank you for taking the time to fill out this form. You will be contacted by a staff member to confirm the requested date and time of the presentation within the next five to seven business days.
            
    Copyright © 2013 Canine Companions for Independence, Inc. All rights reserved.