Skip to content
PPSWO Training Financial Assistance Application
1.
Name
2.
Email address
3.
What city/state do you reside in?
4.
What county do you work in? (If in Ohio)
5.
I am interested in attending....(name of training)
6.
I would attend as a...
Parent
Professional
Both
7.
If you are attending as a professional, what organization do you represent?
8.
If you are attending as a professional, who do you serve? (Check all that apply)
In-school youth
Youth with intellectual or developmental disabilities
Adults with intellectual or developmental disabilities
LGBTQ+ youth
Homeless youth
Youth in alternative education settings
Juvenile justice youth
Foster care youth
Other (please specify)
9.
If you are attending as a professional, what age range do you serve? (check all that apply)
Under 12 years old
12-17 years old
18-24 years old
25-60 years old
60+ years old
10.
If you are attending as a parent/caregiver, does your child/ren belong to any of the populations below? (check all that apply)
In-school youth
Youth with intellectual or developmental disabilities
Adults with intellectual or developmental disabilities
LGBTQ+ youth
Homeless youth
Youth in alternative educational settings
Juvenile justice youth
Foster care youth
Other (please specify)
11.
If you are attending as a parent/caregiver, how old is your child/red?
Under 12 years old
12-17 years old
18-24 years old
25-60 years old
60+ years old
12.
I would be able to cover OR my employer would reimburse me for...
100% of the cost
75% of the cost
50% of the cost
25% of the cost
0% of the cost
13.
How would attending this training benefit you?
14.
In what ways do you plan to implement the information provided at this training?
Current Progress,
0 of 14 answered