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
Your Telephone Number
Please include the full name of the site or organization where the course will be held.
Which type of TGH CHA course would you like to offer?
School Program (K-12 student/caregiver pairs)
Early Childhood Development Program (Pre-K toddler/caregiver pairs)
Community Program (adult participants)
Community Program (school-aged child/caregiver pairs)
Small Business Program (adult participants)
Who will be your Trainer(s)?
If you/your Trainer(s) have NOT taught a TGH CHA course before, please provide an email address for each person.
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).
Winter (January - March 2019)
Spring (April - June 2019)
Summer (June/July - September 2019)
Fall (August/September - December 2019)
Anything else you would like us to know?
Never submit passwords through Google Forms.
This form was created inside of Tech Goes Home Chattanooga.
Terms of Service