Training Request Form
This request form is to be submitted at least 3 months prior to the requested start date. Please note that submission of this form does not officially reserve the dates requested. Trainings are offered based on CCHA's facilitator and training team’s capacity.

If you are requesting training please have a cohort of at least 10 participants identified. If you do not have 10 participants identified, the remaining seats in the cohort will be open to the general public. This same regulation applies when requesting training on-site or in a location of your choosing. This form is NOT for individual core competency request.

If you are requesting training to be offered in a venue provided by CCHA, the location will be determined based on the concentrated area of demand.

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Name of your organization: *
First and last name of point of contact: *
Email address for point of contact: *
Please select the training(s) you are requested to be facilitated: *
Required
Preferred start date of training:  *
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By submitting this form, I acknowledge that I have read and completed all of the above CCHA Training Request Form Application to the best of my knowledge.  *
Required
By submitting this form, I acknowledge that all training requests are to be vetted and approved by the CCHA Training Staff. *
Required
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