Request for Community Education
★ This survey is for Community Based Organizations that are interested in scheduling trainings/informational sessions about the services the the DV Outreach Team provides along with Building Futures' services as an agency.
★ The purpose of this survey is for Building Futures' Community Outreach team to gauge what information focused on Domestic Violence education would be more appropriate for your team/agency and the clients that you all serve.
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Email *
Contact name? (First and last) *
What agency are your requesting this outreach education for and where are you located? *
Are you interested for an in-person training or via. Zoom? *
Sessions generally are 1-1.5hrs, including time for questions. 
If you would like to schedule reoccurring, shorter or longer sessions, please let us know at the bottom section below.
Please let us know what day(s) of the week works best for you and your staff (Example: Thursdays most staff is in office) *
Required
What time would you like to reserve?                        (please note that the presentations are about 1.5hr long) *
Time
:
How many staff members do you anticipate attending this training? *
What topic(s) is your team most interested in receiving education on? (Please check all that apply) *
Required
Anything else that we should know?
A copy of your responses will be emailed to the address you provided.
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