JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Training Request Form
Thank you for your interest in Domestic Violence Prevention Network's Community Trainings! Please fill out this form with any relevant information to your training needs. We will reach out to you to coordinate a training schedule with you that fits within those needs. We are looking forward to connecting with you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First and Last Name:
*
Your answer
Email:
*
Your answer
Organization/Employer/School/Community Group you represent:
*
Your answer
Who is the training for?
Note: We are currently not able to fill requests for single person trainings, but we offer a community training series annually and we can add you to communications for the next round. We also periodically offer open community trainings that we can send communications for.
*
Just Myself / I am a single person organization
A group that I am part of / Group that I facilitate
For my organization / place of employment
I just want more information about the training offerings!
Not Listed (please specify)
Who is the training for? For example, is this for a group of community members, DV advocates, case managers, medical professionals, etc?
Your answer
What training sessions are you interested in?
*
Dynamics of DV (60-90 minutes)
IPV in the LGBTQ+ Community (60-90 minutes)
Healthy Boundaries for Healthy Relationships (60 minutes)
The Adverse Childhood Experiences Study and DV (90 minutes)
Teen Dating Violence for Adult Providers (60 minutes)
Dynamics of DV + Safety Planning (90 minutes)
Domestic Violence for Medical Professionals
Domestic Violence for Dentistry Professionals
Required
If there is a training you are looking for that is not listed, please detail what you are looking for below:
*
Your answer
What is the estimated number of attendees expected to attend the chosen training(s)?
***Note: we are offering scheduled trainings only for groups of 5 or more currently. If this is a training for less people, we can add you to our email list for when we have open community trainings***
*
Your answer
Are there any specific dates that you are interested in? (We cannot guarantee that we’ll be available)
Your answer
We are currently offering trainings on these days due to capacity. Are there certain days of the week that would work best for you? Check all that apply
*
Tuesday
Wednesday
Thursday
Any day
None of these will work for me / our group
Required
Are there certain times during the day that work best for you? Check all that apply
*
Morning (9am-12pm)
Afternoon (12pm-5pm)
Evening (5pm-8pm)
Any time
Other:
Required
What type of meeting are you looking for?
*
Virtual
In-person (NOTE: in-person will require approval from DVPN director if out of service area)
Either works!
How did you hear about us? Check all that apply.
*
Through DVPN staff
Google Search
Social Media
Direct Referral
An Event I attended
Attended a DVPN training and want to bring it to my organization
Other:
Required
Is there anything else that you would like to share with us? Thank you!
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of Domestic Violence Prevention Network.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report