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Transform2Change Academy Pre-Registration
Please complete this form and we will get back to you with booking details within 24 hours
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Agency/Organization
*
Your answer
Title
*
Your answer
Email address
*
Your answer
Website
*
Your answer
Phone
Your answer
How many staff would you like to send to the Transform2Change Academy?
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1
2
3
4
5
6
7
8 or more
Do you have written safety protocols?
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Yes
No
Of the following, what are the biggest challenges that you are facing in your credible messenger/violence prevention work (select all that apply)?
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Hiring and Vetting
Working with System Partners
Accountability and Supervision
Professional Development
Safety Protocols
Curriculum Development
Social Capital Development
Required
Will you/your team need lodging?
*
Yes
No
Maybe
Thank you. In 24 hours, we will get back to me via phone.
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