Trauma-Informed Practice Training & Consultation Request Form
Please use this form to request training or consultation by LACOE Foster Youth Services Technical Assistance Program Coordinator, Kim Faulkner-Camacho. 
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Email *
Requestor Name *
Requestor Job Title *
Phone # *
COE/District/School *
Inquiry Type *
Type of Trauma Training Requested
If you're requesting a training, please indicate the training date. 
MM
/
DD
/
YYYY
If you're requesting a training, please indicate the time of the training. 
Time
:
If requesting a training, please indicate the estimated number of participants and targeted audience (administrators, teachers, counselors, child welfare, caregivers, etc.)
Additional Comments
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