Request an AWP Education Program: Community Programs

Please provide the following information to request an AWP Education Program for your group, team, and /or business.

Once we have received your completed Program Request Form, a member of AWP's Education Team will contact you within 1-2 business days.

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* 1. Your First & Last Name

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* 2. Group / Team / Business / Organization Name

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* 3. Your Role / Title

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* 4. Email Address

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* 5. Phone Number

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* 6. What topic(s) would you like to see included in your program? (please select all that apply)

Domestic Violence (DV) 101: "Red Flags" of Abuse, Dynamics of Power & Control, and Preventing Future Violence

A Woman's Place 101: Programs & Services, Community Impact, How to Get Involved

Empowerment 101: How to Support a Survivor & Promote Social Change

DV Awareness for Social Service Providers & Professionals

DV Awareness for Child Care Providers

DV Awareness in the Workplace

DV Awareness & Faith-Based Communities

DV Awareness for Salons, Barbers, Beauty Schools, & Tattoo Parlors

Teen Dating Violence Awareness and Supporting Youth & Teens

Human Trafficking 101: Know the Warning Signs, Advocate for Survivors, and Create Community Change

Other (please specify)

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* 7. Approximately how many participants do you expect to attend this program?

1-15 participants

15-30 participants

30+ participants

Other (please specify)

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* 8. Programs can be offered in 15-, 30-, 60-, and 90-minute formats. What format do you prefer?

15-minute

30-minute

60-minute

90-minute (recommended)

Other (please specify)

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* 9. Will this program be facilitated online or in-person?

Online

In-Person

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* 10. Please list the date / week / month for which you would like to schedule your program.
NOTE: We cannot guarantee this date / week / month, but we will do our very best! All scheduling is based on the availability of our team of Community Educators.

Request an AWP Education Program: Community Programs

Question Title

* 1. Your First & Last Name

Question Title

* 2. Group / Team / Business / Organization Name

Question Title

* 3. Your Role / Title

Question Title

* 4. Email Address

Question Title

* 5. Phone Number

Question Title

* 6. What topic(s) would you like to see included in your program? (please select all that apply)

Question Title

* 7. Approximately how many participants do you expect to attend this program?

Question Title

* 8. Programs can be offered in 15-, 30-, 60-, and 90-minute formats. What format do you prefer?

Question Title

* 9. Will this program be facilitated online or in-person?

Question Title

* 10. Please list the date / week / month for which you would like to schedule your program.
NOTE: We cannot guarantee this date / week / month, but we will do our very best! All scheduling is based on the availability of our team of Community Educators.

Question Title

* 11. How did you hear about AWP's Education Programs?

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* 12. Please list any questions, concerns, or special requests you would like to share with AWP's Education Team:

Question Title

* 1. Your First & Last Name

Question Title

* 2. Group / Team / Business / Organization Name

Question Title

* 3. Your Role / Title

Question Title

* 4. Email Address

Question Title

* 5. Phone Number

Question Title

* 6. What topic(s) would you like to see included in your program? (please select all that apply)

Question Title

* 7. Approximately how many participants do you expect to attend this program?

Question Title

* 8. Programs can be offered in 15-, 30-, 60-, and 90-minute formats. What format do you prefer?

Question Title

* 9. Will this program be facilitated online or in-person?

Question Title

* 10. Please list the date / week / month for which you would like to schedule your program. NOTE: We cannot guarantee this date / week / month, but we will do our very best! All scheduling is based on the availability of our team of Community Educators.

Question Title

* 11. How did you hear about AWP's Education Programs?

Question Title

* 12. Please list any questions, concerns, or special requests you would like to share with AWP's Education Team:

* 10. Please list the date / week / month for which you would like to schedule your program.
NOTE: We cannot guarantee this date / week / month, but we will do our very best! All scheduling is based on the availability of our team of Community Educators.