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Palm Beach State College
The Center for Student Accessibility
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First Name:
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Last Name:
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Department/Organization Name:
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Phone Number:
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Email:
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Presentation Topic
The Center for Student Accessibility (CSA) will include the following topics in all of our presentations: An overview of CSA services and processes and how to create an inclusive environment.
Please select any additional topics that you would like to learn about:
Disability, Inclusion & Etiquette
Autism: What You Need to Know
Letter of Notification
Service Animals Are Not Pets
Addressing Disruptive Behavior
Other
Please explain what topics you would like covered in our presentation:
Reason for Presentation:*
Classroom Presentation
Club/Organization Training
Staff Training
Faculty Training
Other
Anticipated Number of Attendees:
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Potential Date/Time 1:
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Potential Date/Time 2:
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Potential Date/Time 3:
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Location of Presentation:
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Will your location have A/V and PowerPoint capabilities?*
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Goals of the Presentation:
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Additional Information:
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