Greater Richmond SCAN Workshop and Training Request Form
Please fill out the form below to request a workshop or training. We will reach out to you within 3 business days to discuss your training/workshop. Thank you for your request!
Agency/Organization/Community Group *
Your answer
Main Contact Name *
Your answer
Main Contact Phone Number *
Your answer
Main Contact Email Address *
Your answer
Requested Date of Presentation *
MM
/
DD
/
YYYY
Requested Time of Presentation *
Time
:
Preferred Length of Training - please note that some workshops and trainings have minimum required time allotments, as listed below. *
Required
Location for Workshop/Training (Address & Zip-code) *
Your answer
Type of Audience (teachers, mental health professionals, community group, club, etc.) *
Your answer
Are you a member of the GRTICN (Greater Richmond Trauma Informed Community Network)? *
Estimated # in Audience *
Your answer
Capacity for Training/Workshop Payment - please note: some of our workshops have a required fee. We do offer a discount to non-profits. *
Your answer
Workshop and Training Descriptions
Greater Richmond SCAN offers a variety of workshops and trainings that can be tailored to your areas of interest and learning. For descriptions for the workshops offered below, please see https://bit.ly/2nmH2sB
Please select which training/workshop(s) you would like to request. *
Required
Are there any areas of interest and learning that you would like to include that are not listed above? Any additional items you would like our facilitator to know about this request?
Your answer
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