Professional Development & Training Request form

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Please complete our request form for your organization. After you fill out the form, we will contact you to go over details and availability before we schedule and confirm your training.

What is the name of your organization? *

What is the organization's address? *

What is your first and last name? *

Preferred contact method *

Phone

Required

What is your phone number? *

What is your email? *

What are you interested in? *

Community Resiliency Model Introduction

Community Resiliency Model Workshop

I'd like to request a specialized training or wellness experience for a specific audience

I'd like to discuss professional development courses for a specific audience

Required

Which format are you interested in? *

In-person

Virtual

Required

If selecting an in-person training, what is the venue address if known?

How many people do you anticipate attending? *

How did you hear about us? *

Resilient Georgia

Through my job

Word of mouth

I previously attended a CRM training

Online search

Other:

Please provide any details about your request (e.g., proposed dates, target audience, accommodations, etc.)

Submit

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