Grantwriting 101 Training Registration Form

Please enter the following information below to register for one of our upcoming Grantwriting 101 trainings.
(Only one person per registration form)

Question Title

1. Please provide the following information.

Name:

Agency or Department:

Address:

Address 2:

City/Town:

State:

ZIP:

Job Title

Email Address:

Name:

Title:

Organization Name:

Address

Address 2

City

State

Zip

County

Phone

Fax

Question Title

2. Which training are you wishing to register for?

	Date of Training
Please select a training date	Please select a training date Date of Training menu

PLEASE NOTE: Email confirmation of registration will be sent approximately one week before the scheduled class.

Class is held from 9:00am to 3:00pm in the following location:
Motorcycle Ohio Training Room
Ohio Department of Public Safety
1970 West Broad Street
Columbus, Ohio 43223
(Enter through the Public Entrance Near the Flag Poles)

For further information on Grantwriting Training 101 only, please contact:

Jacquetta Al-Mubaslat
(614) 728-7291
JAL-Mubaslat@dps.ohio.gov

OR

Melissa Darby
(614) 728-8740
MBDarby@dps.ohio.gov

If you need immediate assistance, please call OCJS at (614) 466-7782.