Bridges Out of Poverty
Training Request Form
Full Name:
Email Address:
Type of Training:
select type of training
Bridges Out of Poverty - Day 1
Bridges Out of Poverty - Day 2
Date of Training:
Time of Training:
month
January
February
March
April
May
June
July
August
September
October
November
December
date
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year
2008
2009
2010
AM
PM
to
AM
PM
Agency Name:
Address:
City:
State:
Phone Number:
Fax Number:
Facilitator's Name:
(check if same as above)
Email Address of Facilitator:
Approximate number of participants to be trained for the year:
Approximate number of participants attending this training:
I would like to borrow the Power Point Presentation. (only for Bridges out of Poverty - Day 1)
I would like to borrow the "People Like Us" video.
I would like to borrow the "Jodi's Story" video.
I understand that:
Trainings need to be a minimum of 6 hours - Scheduled to fit agency's priorities.
It is my responsibility to submit this request and the contract to The Community Partnership at least 2 weeks prior to the scheduled training.
It is my responsibility to call The Community Partnership 4 business days prior to training with the final number of attendees.
Materials will be ready for pickup (Day 1 Training) or emailed (Day 2 Training) at least 2 businesses days prior to training.
Evaluations and sign in sheets must be returned to The Community Partnership no later than 7 days after the training.
**Please not if you use an email client such as Outlook or Entourage the contents of this form will be opened in an email. You must hit send on your email to complete the transmission of this information.