Vermont Care Partners Workshop Request Form
Thank you for your interest in a workshop or support group.  Please provide the information and we will be in touch soon.

Vermont Care Partners

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Email *
First and Last Name *
Organization Name (if applicable)
Best Telephone # to Reach You *
I am interested in the following workshop(s) for my organization or group *
Required
Preferred Days, weekdays *
Preferred time (8am-8pm) *
Potential # of attendees *
I would like the workshop to be conducted: *
Tell us a bit more about your group, program or organization. *
Thank you for your interest in a customized workshop! We will reach out to you in the next few business days to discuss your request. If you have any questions please email us at Simone@vermontcarepartners.org or visit our website at www.covidsupportvt.org or vermontcarepartners.org.  
A copy of your responses will be emailed to the address you provided.
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