Seminar-Workshop Request Form Please enable JavaScript in your browser to complete this form.Name *FirstLastGenderMaleFemaleEmail *Telephone Number *Address of Organization - street, city, and country *Telephone of Organization *Your Job Title or Position *Method of Workshop Presentation *VirtualFace-to-faceSeminar-Workshop Request *Brain-health to experience total wellnessHealthy LivingStress and trauma recoveryDepression and anxiety recoveryIncrease your brain power and be amazing!Brain rewiring to change thoughts and behaviorBrain-based learning to improve study abilityBrain-power for God's serviceSpecial combination per your group requestIf you selected "special combination," state areas of interestNumber of persons to be involved *20-5051-100101-200Proposed date of seminar-workshop *Proposed time of seminar-workshop *Seminar-workshop venue. Describe the facilityComments, message, special considerations, or requestsNameSubmit