Group Training Request

Today's Date:^*

Organization, Group, or Community Name:^*

Phone Number:^*

Email^*

Website

Select the mode of delivery that would work best for your participants:

In-Person Training

Online Training

When would you like to book the training?

For the two day in-person training, please indicate which days of the week could work - select all possibilities:

Monday & Tuesday

Tuesday & Wednesday

Wednesday & Thursday

Thursday & Friday

For the two day online training, please indicate which days of the week could work - select all possibilities:

Monday & Tuesday

Tuesday & Wednesday

Wednesday & Thursday

Thursday & Friday

For in-person training, where would you like to host this training?

Would the venue be provided?

yes

No

If yes, what is the name of the Venue

Venue location (city)

If yes, is the venue equipped with a projector and screen as well as a secure internet connection?

If yes, would the room comfortably hold 24 participants in a U-shape, plus two facilitators at the front of the room?

Reason for requesting this training:^*

What are you hoping your organization, group, or community will get out of this training?

Tell us about the participants you would like to reach with this training:^*

To what extent are the participants familiar with the topic of sexual violence?

Are there specific questions or issues you would like facilitators to address?

Are there any specific considerations that you would like facilitators to prepare for?

Are there any accommodations that you would like us to consider in order to increase accessibility?

Is there any other information about your organization, group, or community that you would like to share with us?

Website