Invite a senator

Name *

Job title *

Email *

Phone number *

Requested date *

Flexible date
Specific date

The senator would be speaking at a *

School (elementary or high school)
Cégep
University/college course
University/college student club/event
Community organization/event
Other

School name / Organization name *

Course name / Event name *

City *

Province / Territory *

If a senator is unavailable to travel to your location, would a videoconference be possible?

Yes
No

Approximate number of participants

Would you like to request a particular senator? *

No
Yes

Is there any additional information you would like to provide?

How did you hear about this program?

Email
Website
Brochure
Twitter
Facebook
Instagram
Senate eNewsletter
Recommendation from a colleague/friend
Other