Speaker Request Form

If you would like Dr. Gentile to speak to your group or organization, please complete this form and he will contact you to discuss the details.

About you:

First Name:       

Last Name: 

Email Address: 

Contact Phone:       

Organization:       

Address: 

Address 2: 

City, State, Zip: 

Location of Event: 

Presentation date/time: 

Length of presentation: 

  

Topics you would like discussed (select all that apply):

 Media and children's brain development

The multiple effects of media violence

The four dimensions of video game effects

Video games as exemplary teachers

Violent and prosocial video game effects

Screen time and obesity

The psychology of advertising (or, how ads work without our conscious awareness)

Beer advertising and youth drinking

How American health education must change

The problems with media rating systems

Pathological computer/video game use (aka "video game addiction")

Media and school readiness and school performance

How the media portray women

Media and families as risk and protective factors for children

How families can mitigate the negative effects and promote the positive effects of media

Other:   

  

Approximate Audience Size: 

Audience Type (check the primary target audiences):

Educator - Elementary

Educator - Middle School

Educator - High School

Educator - College

Early Child Professionals

School Administrators

School Principals

Professional Associations

Healthcare Professionals

State/Local/Government Agency

Parents and/or Caregivers

Social Services

Business/Community

Faith-Based

Other: 

  

  

Comments/Special Requests: 

  

© 2008 Douglas A. Gentile, Ph.D.

  

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