Workshops Detail Form

Request for Additional Details

Thank you for reaching out. We are delighted to explore working with you.

Please complete as much of the relevant section/s below as possible.
This form is for my personally delivered workshops as well as for Neuroinclusive Advantage workshops.
This allows my neurodivergent brain processing space,
ensuring our discussion is focused and valuable for both of us.

Please ensure this form is filled out before out meeting.

With thanks

Patricia

Workshop Request Details

Organiser Name

Email Address

Organisation Name

Phone Number

Workshop Choice Workshop Choice Training Details Neurodiversity 101 The Inclusive Leadership 1 day workshop Building Neuro-inclusive Foundations 3 hour Workshop A bespoke/tailored option

Preferred date/s for training

Duration e.g. 1 day, Multi-session, 1/2 day

Industry / Organisation Audience and Industry

Who are the participants? (e.g. HR Professionals, Educators, Team Leaders, Employees)

Location : Location : In person Virtual

Experience with Neurodiversity Topics: Experience with Neurodiversity Topics: Beginner Intermediate Advanced

More information on specific needs or challenges

Desired Learning Outcomes and/or Specific topics to include Training Objectives

AV Requirements (Projector, Whiteboard, Breakout rooms) Miscellaneous

Pre-training requirements: materials or assessments needed

Training fee allocation or budget range

Any additional information