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2. Thank you for reaching out for more information on our programs! This is a collaboration between multiple agencies, therefore training and speaker requests need to be submitted at least three weeks in advance to make sure we have the staffing to assist.

   
   

   Important note: While we make every effort to accommodate all requests for speakers or training sessions, please understand that due to the volume of requests and scheduling constraints, we may not be able to fulfill every request. We will do our best to consider and prioritize each request based on our availability and alignment with our mission and goals. Your understanding and flexibility in this matter are greatly appreciated.

   If you are seeking an established training, please click the applicable link below for their registration pages. 

   • Mental Health Frist Aid Registration:  Mental Health First Aid Registration Form
   • Navigating Crises in the Workplace Registration:  Navigating Crises in the Workplace Training - Interest Form
   • CIT Academy Announcement can be found HERE. 
   • CIT Academy Registration form can be found HERE
   • Volunteer Sign-Up: *link coming*

   Otherwise please submit the below information and someone will contact you as soon as we can to work out the details.

4. First Name
5. Last Name
6. Title/Position
8. Email*
9. Phone Number*
11. Name of Organization*
12. Type of Business*
    -- Select One --Non-profitFor profitEducational (school, etc.)Religious organizationOther
14. Brief Description of Organization*
16. Anticipated Number of Attendees*
17. Event/Training Location (if known)
19. Do you have a date/time scheduled for this event?*

    1. Yes
    2. No
    3. Not sure
20. Date/Time
    Date/Time Start Date

    Date/Time Start Time

    —

    Date/Time End Date

    Date/Time End Time
22. Is this event open to the public?*

    1. Yes
    2. No
    3. Unsure
23. Do you anticipate press coverage?*

    1. Yes
    2. No
    3. Unsure
25. Please describe the objective for this training. This will help us know what content to cover and types of trainers needed. *
27. Please provide any additional comments you may have:
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field