The Parents' Place of Maryland Presentation/Workshop Request
Thank you so much for inquiring about our services!
Please answer the following questions if you would like to request PPMD present to your organization or would like PPMD to attend a resource fair or outreach event to share resources.
Which county is your training or event located in?
(Check all that apply)
Allegany
Anne Arundel
Baltimore
Baltimore City
Calvert
Caroline
Carroll
Cecil
Charles
Dorchester
Frederick
Garrett
Harford
Howard
Kent
Montgomery
Prince George's
Queen Anne
Somerset
St. Mary's
Talbot
Washington
Wicomico
Worchester
N/A - we serve a statewide audience
N/A - not in Maryland
N/A - we serve a national audience
I am requesting a
Training/Workshop/Presentation
Resource Fair
Outreach Event
Name of your company/school/organization
Contact person first name
Contact person last name
Contact person email
Which topic would you like us to present on?
Please select...
About PPMD
Behavior
Disability/Health Specific (please specify)
Early Childhood
Family Engagement/Family Empowerment
Good Samaritan Law
How to support families when English is not their First Language
IEP Clinic
Parent Empowerment Program 5-12 (Charles County)
Parent Empowerment Program Teens (Charles County)
Preparing for School
Problem Gambling
Serving on Groups
Special Education 101
Special Education/General Information/504 (please specify)
Transition
Transition: 14 to 21
Transition: Birth to 5
Other
If you selected other or a broad topic, please tell us more about the topic you would like us to present on
Requested event date and time
Preferred delivery type
Virtual/Zoom
Hybrid
In Person
How many participants do you expect?
1-20 people
21-50 people
51-100 people
100+ people
**Please note that PPMD cannot host more than 100 participants via Zoom, so you would be responsible providing the digital platform for hosting IF your event will be virtual or hybrid and will have 100+ participants.
Do you need PPMD to provide the digital platform for the training/event?
Yes
No
Please select your target audience(s)
Families/Caregivers (i.e. parents, grandparents, etc)
Professionals
Youth/Self-advocates
Military
How are participants registering to attend?
Will you have evaluations at the end of the event?
Yes
No
We can provide evaluations for you, what information would you like captured?
Will you be able to send your evaluations within 5 days of the event?
Yes
No
Have you already spoken with a PPMD staff member?
Yes
No
Who did you speak with?
Are you requesting a specific PPMD staff member to conduct the training/attend your event?
Yes
No
Preferred PPMD staff member
What is your overall goal of the training?
Any additional information you think would be helpful for us to know?
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