CCS Crisis Intervention Training Interest Form

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Please complete this form if you are interested in attending one of CCS's 66.5 hour Crisis Intervention Trainings as a community partner. This form is not intended for CCS staff or volunteers.

Note: Completion of this form does not guarantee a spot in an upcoming training. Community partner spots are limited, as this training is primarily hosted for CCS staff and volunteers in accordance with CalOES.

Full name: *

Pronouns:

Email: *

Phone number: *

If you are inquiring within your role at an organization, please share your role and organization:

Do you require SA Counselor status as defined by CA Evidence Code §1035.2 for your current role? *

Yes

Unsure

Are you required to complete a training on sexual assault and intimate partner violence as part of a grant? *

Yes

Unsure

Please describe your reason for wanting to complete this training: *

CCS typically hosts CIT 3-4 times per year. The 66.5 hours are spread over 4 weeks or more. Training sessions are often held on weekday evenings and on Saturdays. Do you have any concerns about attending all of these sessions? *

No concerns -- my schedule is open and flexible.

Some concerns -- I will need to adjust my schedule.

Many concerns -- it will be difficult for me to attend most sessions.

Other:

CCS asks that community partners provide an honorarium of $500 per attendee for this training. Would this be a barrier to your attendance? *

Yes

Unsure

Anything else you would like us to share? *

Submit

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