CAE Workshop Request Form
Please complete the following information and someone will follow up with your request!
Organization *
Your answer
Which of the following best describes your group/organizational type? *
Required
Contact person *
Your answer
Phone Number *
Your answer
Email contact *
Your answer
Location Address *
Your answer
Type of Workshop Request *
Anticipated numbers *
Your answer
What is the age group of the participants? *
What is the gender make up of the group? [*cisgender = non-transgender] *
Required
The purpose of the workshop/community needs *
Your answer
Provide THREE possible DATES you would like to schedule this workshop. *
Your answer
Provide TWO possible TIMES you would like to schedule this workshop. [Self-defense workshop requires 1.5-2 hrs & Upstander workshop requires 2 hrs] *
Your answer
How much funding is available for your organization (for this workshop)? *
Your answer
What neighborhood is your group/organization based? *
Your answer
What prompted your organizational interest in this workshop? *
Your answer
How did you hear about CAE? *
Is there anything else you would like to share?
Your answer
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