Ad Hoc Training & Technical Assistance Request Form

Die Datei kann in Ihrem Browser nicht geöffnet werden, weil JavaScript nicht aktiviert ist. Aktivieren Sie JavaScript und laden Sie die Seite noch einmal.

This Ad Hoc request form is to request existing courses offered by the STI/HIV/VH Capacity Building and Training Program.

Google Form keyboard shortcuts

Accessibility statement and support page

In Google anmelden, um den Fortschritt zu speichern. Weitere Informationen

To bring a course to your agency/area, please fill out this form. Please note that fulfillment of this request is subject to trainer availability. A minimum of 8 participants is required.

Name: *

Agency: *

Email: *

Phone: *

Which course(s) would you like to bring to your agency/area? *

Foundational Communication Skills for STI/HIV/Viral Hepatitis Services

Foundations of Case Management

Identifying and Screening for Mental Health and Substance Use Issues

Introduction to a Trauma-Informed Approach

Meaningful Engagement with Men who have Sex with Men (MSM)

Meaningful Engagement with People Who Use Drugs (PWUD)

Motivational Interviewing for STI/HIV/Viral Hepatitis Services

Prevention Toolbox: PrEP and Beyond

Rapid HIV/HCV Testing Training Series

Pflichtfrage

Do you have a training classroom available (not a requirement)? *

Number of participants in your agency/area? *

Number of participants from agencies with whom you collaborate? *

Are you willing to allow other participants from other agencies to attend this training? *

Yes

Pflichtfrage

How would you like the training to be delivered? *

Live Virtual Training

In Person / Onsite

Pflichtfrage

What is an estimated time frame of need? *

Reason for course request? *

Any special requests? *

Senden

Alle Eingaben löschen

Gib niemals Passwörter über Google Formulare weiter.

Dieses Formular wurde bei State.co.us Executive Branch erstellt.

Sieht dieses Formular verdächtig aus? Bericht

Formulare