Organizational Wellness Inquiry

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First name*

Last name*

Organization / Company*

Email*

Phone*

Event Details*

Date and time*

Month

Day

Year

Time

:HoursMinutes

Event Location (City, State or Virtual)*

Which topic(s) are you interested in?*

Mental Health & Wellness

Black Men's Mental Health

Leadership Development

Workplace Wellness

Community Healing

The State of the Black Man

Fatherhood & Family

Emotional Intelligence

The H.E.A.T. Framework

Other

Estimated Audience Size*

Tell us about your event or goals for this engagement. *

Budget Range*

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Serving Southeast Queens and Beyond

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