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CoffeeTime: Presenter Sign-up

Thank you for your interest in our CoffeeTime Program. 

Please complete the following steps to set up your workshop: 

  1. Complete this Presenter Sign-up Form 
  2. Pick a time to meet with CoffeeTime team members for planning and logistics: https://pac4.org/CTMeeting
Basic Information
(This question is mandatory)
Presenter Information
(This question is mandatory)
Are you being referred by any organizations below? 
 
(This question is mandatory)
Gender
(This question is mandatory)
Are there any additional presenters in your workshop?
Please provide information on the additional presenters
(Each presenter will need to sign our Child/Vulnerable Adult Protection and Confidentiality Agreements to participate)
Presenter #2
Presenter #3
(This question is mandatory)
Are you or any of the presenters in your group under the age of 18?

Please be aware that EACH PERSON in your group will have to do the following individually. Please do this as soon as possible.

1) Take a picture or pdf of your passport (if non-Vietnamese citizen) or national ID card (if Vietnamese citizen)

2) Read our Agreements on Child & Vulnerable Adults Protection Policies and Confidentiality at https://pac4.org/PlcyAgreem

(Please open this link in a new tab/window.)

3) Electronically sign and Submit a scan of your passport or ID card at the same link https://pac4.org/PlcyAgreem

4) If anybody in your group is under 18, please ask his/her parent/guardian to sign the Parental Consent Form

Preferred Workshop Topic Area
(This question is mandatory)
Which topic block or development cornerstone best aligns with the activities or workshops you would like to lead?
(This question is mandatory)
S1 Life Skills
(This question is mandatory)
S2 Self-awareness
(This question is mandatory)
Health care Profession
(This question is mandatory)
S3a New knowledge
If uncertain, please choose OTHER. We will reclassify if necessary.
(This question is mandatory)
S3b Career Exploration
(This question is mandatory)
Entertainment, Media Profession
(This question is mandatory)
 Accounting, Financial Services, Banking & Insurance
(This question is mandatory)
Education, Human services & Legal
(This question is mandatory)
Engineering Profession
(This question is mandatory)
Information Technology Profession
(This question is mandatory)
Hospitality Profession
(This question is mandatory)
S4 Opportunities and networking
(This question is mandatory)
Please provide a brief introduction of your background and experience, using up to 60 words.
(This question is mandatory)
Please upload your best photo (this picture will be used for the workshop bio poster)
 Upload file
(This question is mandatory)
Will you need Vietnamese interpretation support?
Your workshop Information
(Please provide the details here if you have already planned your first workshop. Note that each workshop will last about 90 minutes.  If not, you may leave this section blank.)
Workshop name:
Who is the intended audience for your workshop?
Do you have any specific preferences regarding the audience for your workshop? (i.e: 3 and 4th year students only, female students, strong english students etc...)
Expected date of the workshop
Open date/time selector
Please list at least 3 objectives of your workshop
Additional Information
(This question is mandatory)
How did you find out about Pacific Links Foundation/our program?
Is there anything else you would like us to know?
 
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