Training Request
If you would like to have one of The Haven's domestic violence or sexual assault prevention educators to come and speak to your group, school or place of business, please fill out the form below.

After you fill out this training request form, we will contact you to go over details and availability before the request is completed. If you would like more information on our training and prevention programs please contact Melissa Williams or Gina Dufrene at (985) 872-0757 or email at melissa@havenhelps.org or gina@havenhelps.org.

Email address *
Event & Audience Information
Date of the event *
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Start time of the event *
Time
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Address of the event *
Your answer
How long is the speaking time? *
What age ranges are included in the group? (check all that apply) *
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Who is the presentation for? *
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Approximate size of audience? *
Your answer
What topic(s) would you like us to present? *
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Contact Information
Contact Name *
Your answer
Contact Phone Number *
Your answer
Email address *
Your answer
Agency/Organization *
Your answer
Anything else you'd like us to know?
Your answer
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