To invite a member of the Passages to Canada Employer Module to speak to your company/conference attendees, please complete the form below. We make an effort to match appropriate speakers with each group, so please provide us with as much detail as possible.


First Name:

Last Name:

Position:

Name of Business/Organization:

Business/Organization Address:

Province:

Postal Code:

Telephone (where we can reach you during the day):

Email:

Audience Description:

Group Size:


Please indicate 3 convenient dates/times for the event:

1) Date:  

Time:  

2) Date:  

Time:  

3) Date:  

Time:  


How did you hear about Passages to Canada?

Passages to Canada PSA (CHUM Television)
Advertising in business-related publication
Advertising in teacher publication
Poster
Postcard
Word of mouth
Website

Additional information about the group