Thank you for you interest in End Abuse's 2018 Civic Engagement Training. End Abuse will not sell or distribute your personal information to anyone outside of our organization. We use your contact information to send you information about our work, as well as details about upcoming fundraising events and educational opportunities. 
*If for any reason you are uncomfortable with sharing your address or any other personal contact information, please note that you are not required to share your contact information with us to register for this training. Thank you! 

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* 1. First and Last Name

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* 2. Street Address

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* 3. City/County

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* 4. Zip Code

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* 5. Phone Number (Best Number to Reach You)

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* 6. Email Address

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* 7. Select a Training Location:

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* 8. Do you require any accommodations?  (e.g.translator, large print materials, etc.) Please specify. 

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* 9. What interested you in this training? What do you hope to get out of this training? 

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* 10. How did you hear about this training? 

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* 11. Are you affiliated with a local DV or DV/SA program? If yes, which one? 

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* 12. In addition to this training, I am interested in participating and/or learning more about... (check all that apply below). 

*Please note that training participants are responsible for all expenses incurred to attend this training. End Domestic Abuse Wisconsin does not have funds to reimburse for travel, hotel stay, or food. However, this training is provided free of charge to advocates, service providers, and domestic abuse survivors.
The End Abuse Policy Team will reach out to you shortly to confirm your registration and provide more information about the training. We look forward to working with you and encourage you to share this opportunity with other advocates, service-providers, and survivors in your community.

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