Requests for WebEncounters

Request to Schedule WebEncounters

Please complete the information below.
Currently, Gift of Life Institute is seeing an increase in requests for WebEncounter sessions and we are doing our utmost to meet your needs. As always, our goal is to confirm sessions during your requested time blocks and ask for your consideration and patience during this busy time if adjustments are needed.

Please note that WebEncounters will not be scheduled until Tuesday, January 16, 2023.

We will respond to all requested received between December 9, 2023- January 5, 2024, no later than January 9, 2024.

Thank you for your continued support and patience.
Name of Organization
Name of Person Scheduling WebEncounters

First NameLast Name
Title of Person Scheduling WebEncounters
Email of Person Scheduling WebEncounters
example@example.com
Phone Number of Scheduling WebEncounters

Area CodePhone Number
Please select the topic(s) for your WebEncounter
Reason(s) for training:

Other
How many WebEncounter sessions do you anticipate needing?
Please select the specific family donation conversation focus: (please check all that apply) ORGAN
Please select the specific family donation conversation focus: (please check all that apply) TISSUE
Please select the preferred date range for the WebEncounters:
Please select preferred time of day for the WebEncounter sessions:
What time zone is your staff located in? We need this in order to properly schedule the sessions.
Is there any other information you feel is important for us to know?
Thank you for reaching out to Gift of Life Institute concerning the WebEncounter tool. Someone from the Institute will follow up with you by the end of the next business day.

Sincerely,

Theresa A. Daly

Director

Gift of Life Institute
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Request to Schedule WebEncounters