Public Charge Training Requests
Need a training on public charge for yourself a group you're involved with? Submit your request and we will do our best to accommodate you!
Organization Name (if applicable)
Training Need (select all that you are interested in)
Train the trainer (so you can conduct public charge trainings in your community)
Ideal Date for Training (if available)
Language of Training
English and Spanish (at the same time or in separate trainings)
Approximate Size of Group
Location of Training (city, county, region, or whatever information is available)
Audience for Training (i.e. health care providers, immigrant community members, food access advocates, etc.)
Anything Else We Should Know
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This form was created inside of Center for Health Progress.