Community Engagement Request Form
Thank you very much for your interest in learning more about ICAN. We are thrilled to share our mission of unleashing abilities with your group or event. We provide educational presentations on the impact of service dogs on those living with disabilities. To facilitate our ability to tailor our program to your needs, please complete the form below and a member of our team will reach out to you.
Contact Info
Contact Name
Contact Email
Contact Phone
Company/Organization
Organization website
Event Info
Event Location Address
Parking Information and detailed directions to enter building:
Preferred Date
Alternate Date:
Start time:
End Time:
Other information related to scheduling your event.
Type of Outreach Programming Requested
ICAN provides several types of outreach programming based on your needs. This includes speaker presentations for adults and children and table/booth set ups and demonstrations for fairs and community events.
While there is never a fee to share our passion with your group, if your location is more than 50 miles from our office (5100 Charles Court Suite 100, Zionsville, IN 46077), an honorarium would be appreciated.
If you are looking for a bit more interaction, check out our Puppy Love Year Round Deliveries. Information below.
Please select the presentation that meets your needs:
Please select...
Presentation: Adult
Presentation: Youth (Grades K-2)
Presentation: Youth (Grades 3-6)
Presentation: Youth (Grades 7-12)
Booth: Community Festival/Event
Educational: Service Dogs/ADA compliance for Employers
Animal Assisted Intervention for PT/OT/educational Facilities
Public Access Dogs for medical conditions
Expected Attendance
Is there a screen and projector available?
Please select...
Yes
No
Will a table/chairs be provided?
Please select...
Yes
No
Honorarium
Any donation is appreciated and allows us to continue these educational programs. Honorariums can be sent though our website
, presented to the speaker, or mailed to our ICAN Zionsville office.
https://donate.onecause.com/icandonate/donate
ICAN
5100 Charles Court Suite 100
Zionsville, IN 46077
For Companies, do you have an employee match program that can be highlighted during our presentation?
Please select...
Yes
No
Additional information you would like us to know:
This special presentation through our ICAN Ambassador program can be tailored to your needs to celebrate special events including anniversaries and birthdays for individuals, delivering special gifts to a company's clients or employees, or meet and greets for employee appreciation. A minimum donation of $150 is required. Visits are available within a 25-mile radius of downtown Indianapolis, with a two-week lead time required for planning. A Puppy Love representative will follow up with you to customize your delivery. Please email
loris@icandog
.org for additional details.
For questions, email
Lori Ann Steininger
Development and Com
munity Outreach Manager
loris@icandog.org
Contact Information