PPSWO Training Financial Assistance Application Question Title * 1. Name OK Question Title * 2. Email address OK Question Title * 3. What county do you reside in? OK Question Title * 4. What county do you work in? OK Question Title * 5. I am interested in attending....(name of training) OK Question Title * 6. I would attend as a... Parent Professional Both OK Question Title * 7. If you are attending as a professional, what organization do you represent? OK Question Title * 8. If you attended 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) OK Question Title * 9. If you attended 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 OK Question Title * 10. If you attended 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) OK Question Title * 11. If you attended 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 OK Question Title * 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 OK Question Title * 13. How would attending this training benefit you? OK Question Title * 14. In what ways do you plan to implement the information provided at this training? OK DONE