Building healthy families through the wise
use of media.
Upcoming Events
Invite a Speaker
HOME
Programs
|
About Us
|
Hot Topics
|
Resources
|
Get Involved
|
MediaWise Store
|
Dr. Dave's Blog
Donate Now
Bring a MediaWise Speaker to Your Community!
Fill out this form or call 1-888-672-5437
*
First
Name:
*
Last Name
:
*
Email Address
:
*
Organization:
*
Address
:
Address 2
:
*
City
:
*
State
:
- State -
Alabama
Arizona
Arkansas
Alaska
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip
:
*
Contact Phone
:
Fax
:
Contact name (if different):
*
Location of event:
*
Date and Time you would
*
like the presentation
:
*
Topics you would like discussed at the presentation
:
- Topic -
Raising MediaWise Kids
How Do I Parent In An On-Line World?
Are We Creating a Culture of Disrespect? Values and Attitudes in the Media.
Why Do They Act That Way? A Survival Guide to the Adolescent Brain.
Say Yes To No
Other
Other Topic:
(Must relate to the Institute's Mission: To maximize the benefits and minimize the harm of the media on the health and development of children and families.)
*
Audience Size:
- Size -
0 - 25
25 - 50
50 - 100
100 - 200
200 - 500
500 +
Audience Type (check all that apply):
Educator - Elementary
School Administrators
Parents and/or Caregivers
Educator - Middle School
School Principals
Social Services
Educator - High School
Professional Associations
Business/Community
Educator - College
Healthcare Professional
Other
Early Childhood Professionals
State/Local/Government Agency
Other Type:
Will this be a:
Keynote
Workshop
*
Length of presentation:
- Legnth -
0 - 30 minutes
30 - 60 minutes
1 - 2 hours
2 - 3 hours
3 - 4 hours
Full Day
*
Check box if open to the public.
Preferred Speaker
:
- Speaker -
David Walsh
Douglas Gentile
Kevin Walsh
Michael Mann
Erin Walsh
Jenifer Strauss
Mary Gale
Steve Schroeder-Davis
Jeremy Gieske
Budget Amount
:
Comments/Special Requests
:
Check this box if you do not want to receive news and information about programs, services and products from the National Institute on Media and the Family.
Make a world of difference with us
GIVE
FREE Parent Guides
Ready to start telling stories?
Register
or
Login
The MediaWise Network is a FREE online resource for everyone who cares about kids and medias impact on their lives.
Search
© National Institute on Media and the Family.
Privacy Policy
|
Terms of Service
|
Webmaster