2019 TGH CHA Course Request
Please note: completing this form does not guarantee your course will be approved. You will receive a separate email from us for each course session that has been approved.

If you have questions, contact Sammy Lowdermilk at sammy@techgoeshomecha.org.

Your Name *
Your answer
Your Email *
Your answer
Your Telephone Number *
(xxx) xxx-xxxx
Your answer
Course Location *
Please include the full name of the site or organization where the course will be held.
Your answer
Which type of TGH CHA course would you like to offer? *
Required
Who will be your Trainer(s)? *
Your answer
If you/your Trainer(s) have NOT taught a TGH CHA course before, please provide an email address for each person.
Your answer
When would you like to offer a TGH CHA course at this site in 2017/2018? *
This will help us evaluate our distribution and we may be able to approve your site for a future session (if you are not approved for the next upcoming session).
Required
Anything else you would like us to know?
Your answer
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