Request for More Information

• • Today's Date*
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  • Name of Organization*
  • Size of Organization (average number of adherants/attendees - children, youth and adults).*
  • Preferred Language*
    >EnglishFrenchBilingual
  • Your Name*
    First Name

    Last Name
  • Your Title / Role at Organization*
  • Your Email*
     
  • Your Personal Phone Number*
     
  • Address of Organization*
    Street Address*

    Address Line 2

    City*

    Province / State / Region*

    Postal Code / Zip

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    Country*
  • Name of Director/Senior Pastor/Principal*
    First Name

    Last Name
  • Email of Director/Senior Pastor/Principal*
     
  • Best Phone Number to reach you at*
     
  • Organization Website
     
  • Are you affiliated with a denomination or association? If so which one?
  • Please provide an overview of the activities you provide to children, youth or vulnerable adults.*
  • What do you currently have in place for abuse prevention and protection?
  • Which services would you like more information on?
    Customized Policies

    Policy Review and Update

    Policy Audit

    Membership

    On-site Orientation Training for Staff/Volunteers

    On-site Refresher Training for Staff/Volunteers

    On-line Orientation/Refresher Training

    Certification Course for Administrators

    Certification Course for Trainers

    Board Presentation

    Criminal Record Checks

    Reference Checks

    Speaker's Bureau

    Include a quote for the above checked services
  • From this list what are your top 3 greatest felt needs:
    Customized Policies

    Policy Review and Update

    Policy Audit

    Membership

    On-site Orientation Training for Staff/Volunteers

    On-site Refresher Training for Staff/Volunteers

    On-line Orientation/Refresher Training

    Certification Course for Administrators

    Certification Course for Trainers

    Board Presentation

    Criminal Record Checks

    Reference Checks

    Speaker's Bureau

    Include a quote for the above checked services
  • Who can we thank for referring you to Plan to Protect®?*
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