REQUEST A TRAINING
Please allow 2 weeks for BreakOUT! staff to contact you to discuss your request. While we do our best to honor each request, BreakOUT! cannot guarantee that we will be available to provide each training.
Name of Your Agency or Organization
Contact Name
Position/ Title
Phone Number
Email
The primary audience being trained will be... *
Approximately many people do you expect to attend this workshop?
Groups of more than 20 participants may be broken into separate trainings.
Will a supervisor or administrator be able to attend all trainings? *
BreakOUT! requires that someone with authority on policy & procedure be present at all trainings.
Required
Location of Workshop
(We are only able to offer workshops in the New Orleans area and surrounding parishes at this time. However, our space is available for some workshops and can accommodate approximately 20 people.)
Scheduling Preference
Please choose your first option. We will do our best to accommodate your schedule! Please be mindful that longer trainings may require additional preparation time from BreakOUT! staff and may not be able to be scheduled immediately.
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Alternate 1
Please choose an alternative date/ time.
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Alternate 2
Please choose another alternative date/ time.
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Time
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Tell us a little more about your agency needs, interests, and any particular issues your agency might be facing or need assistance navigating.
Does your agency/ organization have an LGBTQ policy or non-discrimination policy that includes gender identity, gender expression, and/or sexual orientation?
Clear selection
If not, will your agency be willing to work with BreakOUT! staff and trainers to adopt an LGBTQ policy prior to the training?
Clear selection
Please tell us your agency's commitment to incorporating materials provided in workshop into your organizational culture or practices. How do you plan to implement recommendations or best practices from the training?
What is your agency's budget?
Trainings are usually offered on sliding scale of 0.1% of an agency's budget. Discounted trainings available for public defender offices or smaller organizations.
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Will your agency be interested in ongoing technical assistance or support longer than 1 month following the training?
Additional technical services and support is available to your agency free of charge for 1 month following the training. Additional assistance in implementing policy, troubleshooting issues, or in-person meetings may be provided to the agency at additional rates.
Clear selection
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