DV Responder Training (DVRT) Request

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Thank you for your interest in The Person Center's Domestic Violence Responder Trainings. Please complete this form to the best of your ability to give our team as much information to better understand what you are looking for, and what we can provide.

Email *

Name *

First and last name

Organization Name *

Organization Description or Website *

Email *

Phone number (Office or Individual) *

Select Your Type of Organization

Nonprofit (Direct Services, Advocacy, Policy, Education, etc.)

Business or Company

Higher Education

Public or Private School

Other:

Clear selection

Who is your audience?

Organizational Leadership

Staff Members

Board of Directors

Community Members

Other:

Briefly describe why you are requesting a training?

Will you be able to host the training? (location, any necessary equipment or materials)

Yes

Maybe

Clear selection

Which format are you interested in? (Note: You are able to change or request otherwise in the future, choose all you are interested in)

1 Hour Session

2 Hour (Extended) Session

Custom (If you would like a shorter session or a session incorporated in a program or larger training)

Other:

First Preferred Date for Training *

YYYY

Second Preferred Date for Training

YYYY

Any additional information we should know?

Submit

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