Expression of Interest

Please complete this form if you are interested in booking Narmi for a workshop or training.

Name of Organization/School/Individual

Contact Person & role/position (if applicable)

Phone

Please indicate which service(s) you are interested in:

Corporate Talks

School-wide Intervention

Group Program

Supervision

Please answer additional questions below based on the service(s) selected above.

(If interested, please provide additional information)

Preferred topics or areas of focus:

Preferred date(s) and time(s):

Number of Participants expected:

(If interested, please provide additional information)

Description of current challenges or needs:

Preferred approach:

Preferred frequency of intervention sessions:

Preferred date(s) for the sessions:

Number of Participants expected:

(If interested, please provide additional information)

Which group program

Parent programs include: 1-2-3 Magic and Emotion Coaching Parenting program; and Living with ADHD: Helping your child apply the brakes.

Children's programs include: Zones of Regulation; and Cool kids anxiety program.

Adolescent programs include: Acing Anxiety (teens); and HSC Study without stress (teens).

How many people interested to attend session

(If interested, please provide additional information)

Area(s) of supervision needed:

Where are you studying? (if applicable)

Why are you interested in supervision by Narmi?

Group or Individual supervision?

Form submitted. Thanks for your interest.