Workers Health & Safety Centre


YOUNG WORKER AWARENESS PROGRAM BOOKING FORM


Please complete this form in its entirety. Be sure to include your individual phone extension number. As demand can outstrip our delivery capacity, please contact us well in advance of your desired presentation date.

* Indicates a required field
















Please provide the following for each presentation:



PRESENTATION ONE:


Date*:

Calendar







PRESENTATION TWO:


Date:

Calendar








In the event the above day(s) are unavailable, please provide alternate dates:



ALTERNATE PRESENTATION:


Alternative Date Option 1:

Calendar

Alternative Date Option 2:

Calendar

Alternative Date Option 3:

Calendar





Note: YWAP presentations can be adapted to various classroom period time lengths.




Note: We do our best to accommodate specific requests for individual presenters, but we cannot guarantee them.





If you have any questions or would like further information,
please contact YWAP Co-ordinator.
Phone: 416.441.1939, extension #8809
Toll Free: 1.888.869.7950
E-mail: ywap@whsc.on.ca
Fax: 416.441.0399