Similarity Awareness Request

Northeast Passage’s Similarity Awareness program explores the similarities we share regardless of ability, and celebrates diversity, equality, and inclusion of individuals with disabilities through participation in sport. We are offer both in-person and virtual options for presentations.

Read More About Our In-Person Program>>

Our virtual presentation is designed to fill a 45-minute class (30 minutes presentation, 15 minutes discussion), but we are flexible and can work with your school to fit your current distance learning format. The presentation is chalk-full of pictures and videos for us to drive into and explore with your students. We offer different styles of presentations for all grade levels. The cost for a virtual presentation is $75.

Please complete this form to request a presenation. We will confirm your date and time and we're happy to work with you to make modifications as needed. Thank you for your interest!

School or Organization Name:

Name & Title of Person Completing this form:

Billing Contact (please include name and email address):

Email of person completing this form:

Would you like an in-person or virtual presentation?

Location of program (including address):

Date preference:

Secondary date(s):

Number of days (for in-person program):

Program time preference:

Secondary time preference:

Is there flexibility with proposed dates and times?

Grade(s):

Number of Classes:

Total number of students with disabilities:

Total number of students:

Day of presentation contact name:

Day of contact phone number and email address:

IN-PERSON PROGRAM INFORMATION:

Unloading/Parking Instructions:

For multi-day programs, can NEP leave a trailer overnight?

For multi-day programs, is there a secure place to leave equipment overnight?

Check-In Process at School:

What are your school's current COVID guidelines (ex. masks, distancing, etc)?

Please provide detailed information on the following for all
program days:

• Class schedule (including start/end time and breaks)

• Number of times classes will repeat for multi day program

• Number of students per class

• Grades per class

• Disability specifics per class (including # of students with a disability and
type of disabilities)

• If NEP is already familiar with specific student needs please provide names

VIRTUAL PROGRAM INFORMATION:

Would you like Northeast Passage to send a secure Zoom link for your presentation?

If no, what platform does your school/organization use for e-learning?

Where will your students be viewing the presentation (individually at home, together in classroom, etc):

Additional Comments:

Contact Information