Request a Speaker or Workshop

To request a workshop please fill in the information below

Brain Injury Education
Transportation Safety Workshops
Other Education and Prevention Programs
Target Audience (check all that apply) *
Please contact us directly if in-person attendance is less than 20. Additional fee may apply.
Will this be held in-person or virtual? *
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Preferred Date(s): List top 3 preferences for dates and time for the presentation
 DateStart TimeEnd TimeTotal Time
BIANJ staff will reach out within 2 business days to schedule and send link for donation.