Affiliation (name of your institution, organization or employer) *
Your answer
Current Position *
In a few sentences, what is your fieldwork background? Please limit response to 150 words or less. *
Your answer
In a few sentences, why do you want to become a certified Prevention Trainer? Please limit response to 300 words or less. *
Your answer
What is your leadership/public speaking experience? Please limit response to 150 words or less. *
Your answer
How have your professional, academic, or personal experiences demonstrated a commitment to increasing diversity and inclusion in field settings? Please limit response to 300 words or less. *
Your answer
Do you have an intended audience in mind to whom you'd like to deliver the BBFF 'Preventing' training? If so, briefly tell us about that audience. Please limit response to 150 words or less.
Your answer
Once trained, can you commit to facilitating the workshop at least two times during the coming year? (Note that this is a requirement to keep your Certification active) *
Which race/ethnicity do you identify? (Select all that apply)
How do you currently describe your gender identity?
Your answer
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