Workshops at Your Facility

Be a group organizer and come for free!

Necessary Responsibilities for the group organizer

• Get permission from your school or institution to have the workshop.
• Get 20 or more people together and send in the group's payment in one envelope.
• Reserve a room with PowerPoint capabilities, a microphone and whiteboard or screen (If the PowerPoint is a problem we can bring our own if need be)
• Help with registration in the morning.
• Help set up in the morning. (usually arrive 45 minutes before the presentation)

Please be sure to fill out the NECESSARY Organizer form below if you are interested in having Marye Dorsey Kellermann come to your school or group.

Organizer Form

   * Required Fields

	* Your Name:
	* Your Address:
	* Your City:
	* Your State:	Select State...AlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhoda IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming
	* Your ZIP:
	*Your Phone:
	Best time to call:
	*Your Email:
	*Name of School or Nursing group:
	*Workshop(s) desired:
	Estimated number of attendees:
	Possible dates for workshop(s):
	* Workshop site:
	* Person giving permission to have workshop at site:
	Their phone number:
	*Their Email Address:

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