Center for Trans and Queer Advocacy : Training Request

Center for Trans and Queer Advocacy Training Request

Contact Information

First Name:

Last Name:

Pronouns:

Email:

Phone:

- Phone (next 3 digits) - Phone (next 3 digits)

Training Time

Training requests require at least two weeks' notice. Please select three potential dates for each training you are requesting. If requesting more than one training, please submit a form for each.

Training Time 1

Training Date:

Start Time:

End Time:

Training Time 2

Training Date:

Start Time:

End Time:

Training Time 3

Training Date:

Start Time:

End Time:

Training Information

Location:

Other Location:

Room:

Number of Attendees:

Please share more information about the intended audience (for example, course name, course content, organization information, demographics etc):

Training Selection:

Please include the learning outcomes/expectations for this training:

Anything else we need to know?