What is the name of the organization/business requesting training? *
Your answer
What is your title within your organization/business? *
Your answer
If applicable, please specify the department for which the training will be provided:
Your answer
Who is the intended audience for the training? Please mark all that apply. *
Required
What type of training is being requested? *
If you selected the LGBTQIAP+ Topics Presentation or "Other", please share what topic you would like us to cover.
Your answer
If you selected the LGBTQIAP+ Topics Presentation or "Other", please share the amount of time allotted for the presentation.
Your answer
Which method of training is being requested? *
If in person at your organization or business, please provide an address and room number (if applicable).
Your answer
Please specify the desired date(s) for the training session. Please note: this does not confirm your specified dates as all presentations are subject to PCTH availability.
Your answer
Please indicate back-up dates if the center is unavailable on the initially listed date.
Your answer
Please specify the desired start time of the training session, if known. Please include time zone.
Time
:
AM
PM
Please specify the desired end time of the training session, if known. Please include time zone.
Time
:
AM
PM
Please include an estimated number of attendees, if known.
Your answer
Please list any specific content areas you would like covered within the training.
Your answer
Is there anything else you would like us to incorporate into the training session?
Your answer
Thank You!
A Pride Center of Terre Haute representative will contact you to confirm your presentation/training. If you have any questions, please email us at info@pridecenterterrehaute.org.