Survey - Virtual Presentation Request - Animal Care Centers of NYC

1.

Please fill out the information below:


*	First Name: Required
*	Last Name: Required
*	Email: Required
	Phone Number:
	Yes, I would like to receive e-mail from Animal Care Centers of NYC

2.

Question - Not Required - What school or organization do you represent?

(Maximum response 255 chars, approx. 5 rows of text)

*3.

Question - Required - Where is your school/organization located?

*4.

Question - Required - Are you interested in a live presentation (allows for audience participation) or a pre-recorded presentation?

5.

Question - Not Required - Date of presentation:

Month

Day

Year

6.

Question - Not Required - Time of presentation (if live):

(Maximum response 255 chars, approx. 5 rows of text)

7.

Question - Not Required - Desired length of presentation (we can adjust, but presentations are often 30-45 minutes long).

(Maximum response 255 chars, approx. 5 rows of text)

8.

Question - Not Required - About how many participants do you expect will attend/view this presentation?

(Maximum response 255 chars, approx. 5 rows of text)

9.

Question - Not Required - If a child or teen group, what are the ages of participants?

(Maximum response 255 chars, approx. 5 rows of text)

10.

Question - Not Required - Presentations generally include an overview of who we are and what we do, animal body language, and how the community can help homeless animals. Are there any topics in particular that you're interested in?

(Maximum response 255 chars, approx. 5 rows of text)

*11.

Question - Required - Would you prefer to host the virtual meeting or have ACC host?

12.

Question - Not Required - If you'd like ACC to host, are there any virtual meeting platforms that your organization is NOT allowed to use?

13.

Question - Not Required - Any additional comments or questions?

(Maximum response 255 chars, approx. 5 rows of text)