Workshop and Training Request Form

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Please choose topic below, if topic no listed, please choose other and write in topic

Workshop and Training Topics

Conflict Resolution

Communication Skills

Diversity and Inclusion

Cultural competency

Leadership Development

Self-Care

Crisis Communication

Time Management

Empathy

Other:

Length of expected training? *

1-2 hours

3-4 hours

Full day-7 hours

Other:

Required

Expected amount of participants? *

Demographic of audience members? *

When considering the organization and attendees, what would make this talk a success? **

Email *

Name(First and Last) *

Contact Number *

What is your budget for this event? *

Less than $500

More than $500

Required

Organization Name *

Event Name *

Event Dates *

YYYY

Type of Event *

In-Person

Virtual

Required

Event Location(in-person only) *

Will your organization cover travel & lodging expenses?*

Yes

Required

Will the event be professionally recorded?*

Yes

Please provide any information that was not captured on this form below. *

Submit

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