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	HomeRequest a Workshop Form   Quick Links   Donations   Upcoming Events   Feature Article   Newsletter SPEAKER REQUEST Name of Requester: From (Agency): Telephone Number: Fax Number: Email: SPEAKER REQUESTED FOR: Booth Presentation Workshop Start Date: Ending Date: Start Time: 9:00 am9:15 am9:30 am9:45 am10:00 am10:15 am10:30 am10:45 am11:00 am11:15 am11:30 am11:45 am12:00 pm12:15 pm12:30 pm12:45 pm1:00 pm1:15 pm1:30 pm1:45 pm2:00 pm2:15 pm2:30 pm2:45 pm3:00 pm3:15 pm3:30 pm3:45 pm4:00 pm4:15 pm4:30 pm4:45 pm5:00 pm5:15 pm5:30 pm5:45 pm6:00 pm6:15 pm6:30 pm6:45 pm7:00 pm7:15 pm7:30 pm7:45 pm8:00 pm8:15 pm8:30 pm8:45 pm9:00 pm Ending Time: 9:00 am9:15 am9:30 am9:45 am10:00 am10:15 am10:30 am10:45 am11:00 am11:15 am11:30 am11:45 am12:00 pm12:15 pm12:30 pm12:45 pm1:00 pm1:15 pm1:30 pm1:45 pm2:00 pm2:15 pm2:30 pm2:45 pm3:00 pm3:15 pm3:30 pm3:45 pm4:00 pm4:15 pm4:30 pm4:45 pm5:00 pm5:15 pm5:30 pm5:45 pm6:00 pm6:15 pm6:30 pm6:45 pm7:00 pm7:15 pm7:30 pm7:45 pm8:00 pm8:15 pm8:30 pm8:45 pm9:00 pm # of Participants: Language: English French Address: City: County: Stormont Dundas Glengarry Prescott Russell Target Audience Professionals Community/Volunteers Students SPECIFIC TOPIC REQUESTED: (please note: a fee may be applicable) Mental Health Series Stress Management Positive Thinking, Feeling Good Taking Care of Myself Invest in Yourself Work-Life Balance Mind and Body Fitness Understanding Mental Illness Myths & Realities of Mental Illness Understanding Schizophrenia Understanding Self Injury Understanding Depression Understanding Anxiety Disorders Understanding Seasonal Affective Disorder Understanding Postpartum Depression Understanding Youth Depression Talking About Mental Illness Suicide Awareness and Prevention Beyond the Label (CAMH partnership) Workplace Mental Health Promotional Program Addressing Stress in the Workplace Staying Positive: Building a Better Attitude Understanding Mental Illness in the Workplace Dealing with Change in the Workplace Work-Life Balance Suicide Awareness and Prevention Mental Health Works Other Mental Health Related Topics Applied Suicide Intervention Skills Training (ASIST) Mental Health Works Programs and Services of the Canadian Mental Health Association - Champlain East Request for a presentation that is not listed (please specify): CMHA Champlain East Branch 329 Pitt Street, Cornwall, ON K6J 3R1 :: Telephone: (613) 933-5845; 1-800-4938271 :: Fax: (613) 936-2323 444 McGill Street, Hawkesbury, ON K6A 1R2 :: Telephone: (613) 632-4924 :: Fax: (163) 632-6522 Copyright © 2006 Canadian Mental Health Association DISCLAIMER NOTICE