Steve Rummler HOPE Network · Training Request

Contact Information

Name

*

First Name

Last Name

Organization/Employer

Phone Number

*

Email

*

Verify Email

*

Training Details

Attendees

*

How many people are you hoping to have trained?

Format Preference

*

Do you have a preference for in person or virtual?

In-Person

Virtual (Held Over Zoom)

No Preference

Address for In-Person Training

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Projector Setup

*

Does this location have a projector setup we will be able to use for our presentation?

Yes

No

Trainer Preference

*

SRHN Staff

Trained Community Trainer

No Preference

Date and Time

*

Is there a specific date/time you had in mind for this training?

Yes

No

Specific Date(s)/Time(s)

*

Select the day(s) and time window(s) that work best for scheduling your training. Trainings run 1 hour.

Monday

8AM-11AM

11AM-2PM

2PM-5PM

Tuesday

8AM-11AM

11AM-2PM

2PM-5PM

Wednesday

8AM-11AM

11AM-2PM

2PM-5PM

Thursday

8AM-11AM

11AM-2PM

2PM-5PM

Friday

8AM-11AM

11AM-2PM

2PM-5PM

Additional Notes

Anything other notes/questions you have for SRHN staff.

Training Open to the Public?

*

Are you willing to have this training be open to members of the public or other groups?

Yes

No