Family Design Resources, Inc. : About Us : Services : Training : Training Request Form

Date *REQUIRED

Name *REQUIRED

Phone Including Area Code *REQUIRED

Email *REQUIRED

Organization *REQUIRED

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Organization Description *REQUIRED

Description of the organization for which training is requested (mission, programs, those served, etc.)

Topic(s) for requested training *REQUIRED

If Other, please specify (refer to training catalog)

Length of Training (hours/days) *REQUIRED

Proposed Location for Training *REQUIRED

Proposed Date for Training *REQUIRED

Possible Alternate Date for Training *REQUIRED

Format For Training *REQUIRED

Audience for the Training (check all that apply) *REQUIRED

Number of people you expect to attend *REQUIRED

Audience Size *REQUIRED

If the anticipated audience is less than 15 people are you willing to ask other groups in your area to join the training?

Are you willing to pay a fee for the training? *REQUIRED

If you are unable to pay a fee, is an honorarium available? *REQUIRED

Honorarium Amount

If other, specify:

If you have spoken to someone at FDR about training, list their name.

Please provide any additional information that may be helpful to address your training need.