Program Request:
A program or presentation can be developed to address YOUR specific needs and concerns. Please fill out the Program Request Form and send it to PSI. Someone will contact you and make the arrangements for your presentation.


To provide you with a program, which best meets your needs please provide the following information and return to our office as soon as possible.

DATE PROGRAM REQUESTED:
REQUESTED BY:
DATE(S) OF PRESENTATION:
PRESENTATION TITLE and/or TOPIC:
LOCATION:
TIME:
LENGTH OF PRESENTATION:
CONTEXT PRESENTATION:
CONTACT PERSON:
PHONE:
EMAIL:
TARGET AUDIENCE:
MALE FEMALE MIXED
CHILDREN TEENS ADULTS
SENIORS  
RACE:
WHITE BLACK HISPANIC
OTHER:
AUDIENCE ROLE:
STUDENTS TEACHERS
PARENTS WORKERS
BUSINESS PROFESSIONALS SERVICES PROVIDERS
OTHER:
ANTICIPATED NUMBER OF PARTICIPANTS:
SPECIFIC OBJECTIVES DESIRED:
SPECIAL NOTES/COMMENTS:

 

To complete the Information Request form, please click on the SUBMIT button.


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Personal Solutions Inc.
145 Clark Building Suite #5
Bedford, PA 15522
Phone: 814-623-5009
Fax: 814-623-5217
Email: info@personalsolutionsinc.org

 

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