BRITE Session Request Form

BRITE Session Request Form

We will use this information to schedule a BRITE session. We will notify you if your requested time is available or if we need to find a mutually available date & time.
Your Name*
Your School or Organization*
Email*
example@example.com
Your Phone Number
Please enter a valid phone number.
What type of class or classes is this for?
Workshops or Activities Requested

Prevention Game (Vapes, Marijuana, Alcohol, & Rx)Media, Marketing, and your Mind (Includes Vape & Marijuana)BRITE WorldVideo & Advocacy ProjectsOpioid Overdose: From Awareness to PreventionHealthy Coping SkillsOther
BRITE World requires access to a specific web page from the internet that your students will use. Sometimes schools block certain websites so please click this and let us know if it was successful.You do NOT need to register on that page.
https://webgl.virtway.com/guest-nick-customization
If it is blocked, we can look for others ways to share BRITE World.

Yes, The registration page appearedNo, it was blocked
Do your students each have their own device to access the internet?

NoYes, a computeryes, an iPadOther
Date(s) & Period(s) Requested (Give 1st choice and alternate dates)
Start time & end time of each class period:
Any other information you think would be helpful in scheduling the sessions?
Questions? What else would you like to know?
Should be Empty: