CINC Training Request Form

Question Title

1. Your Name

Question Title

2. Your Email Address

Question Title

3. Your Mailing Address

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4. Your Community/Coalition/Organization's Name

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5. Requested Training Date

Date / Time

Date

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6. Requested Training Length

Full Day

Half Day

Multiple Day

Conference/Summit Session

Other (please specify)

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7. Requested Training Location

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8. Requested Training Topic (Please check all that apply)

What is a Coalition?

Business of Coalitions

Strategic prevention Framework 101

How To: Facilitate Coalition Meetings

How To: Facilitate Board Meetings

How To: Create Bylaws

How To: Grant Writing

How To: Create Community Buy-In (special populations)

Sustainability Planning

Evaluation Strategies & Planning

Marketing of Prevention Efforts

Geofencing for Prevention

Drug Trends

Youth Advocacy 101

How to Engage Parents in Community Prevention Efforts

How to Engage Youth in Community Prevention Efforts

Other (please specify)

CINC Training Request Form

Question Title

* 1. Your Name

Question Title

* 2. Your Email Address

Question Title

* 3. Your Mailing Address

Question Title

* 4. Your Community/Coalition/Organization's Name

Question Title

* 5. Requested Training Date

Question Title

* 6. Requested Training Length

Question Title

* 7. Requested Training Location

Question Title

* 8. Requested Training Topic (Please check all that apply)

Question Title

* 9. Any Additional Comments/Needs

1. Your Name

2. Your Email Address

3. Your Mailing Address

4. Your Community/Coalition/Organization's Name

5. Requested Training Date

6. Requested Training Length

7. Requested Training Location

8. Requested Training Topic (Please check all that apply)

9. Any Additional Comments/Needs