Training Registration

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First Name *

Last Name *

What is the name of the organization, institution, or business with which you are affiliated? *

What is your current role?

How did you learn about this training?

WI-HER Website

Other organization's website

Someone else who had completed the training

Other:

Have you ever participated in data collection or a community assessment?

Yes, I have participated in both

Yes, I have participated in data collection

Yes, I have participated in a community assessment

No, I have not participation in either

Other:

Clear selection

At this time, how comfortable would you feel completing data collection?

Not comfortable at all

Extremely comfortable

Clear selection

At this time, how comfortable would you feel completing a community assessment?

Not comfortable at all

Extremely comfortable

Clear selection

Submit

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