Are you interested in attending the Trauma Stewardship training in North County on November 28th, 2018?
(Or would you like to learn more about other upcoming community trainings?)

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* 1. Are you interested in attending the Trauma Stewardship training in North County on November 28th, 2018?
(Or would you like to learn more about other upcoming community trainings?)

How many people from your organization do you think will attend? (We want to make sure our space will accommodate everyone). Please list the name of your organization & the number of estimated attendees

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* 2. How many people from your organization do you think will attend? (We want to make sure our space will accommodate everyone). Please list the name of your organization & the number of estimated attendees

We are planning on serving a light breakfast; are there any dietary restrictions/preferences in your group?

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* 3. We are planning on serving a light breakfast; are there any dietary restrictions/preferences in your group?

Would you or your organization be interested in becoming a sponsor or making a donation to help cover refreshments for our training?

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* 4. Would you or your organization be interested in becoming a sponsor or making a donation to help cover refreshments for our training?

Our presenter is willing to tailor her presentation to our audience. Help us do that by identifying your professional sector. (i.e. education, healthcare, librarian, community member, volunteer, other)

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* 5. Our presenter is willing to tailor her presentation to our audience. Help us do that by identifying your professional sector. (i.e. education, healthcare, librarian, community member, volunteer, other)

Would you be interested in receiving educational credits for our training (STAR hours, CEs, etc.)?

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* 6. Would you be interested in receiving educational credits for our training (STAR hours, CEs, etc.)?

Would you utilize childcare if it was provided? If yes, what ages are the children?

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* 7. Would you utilize childcare if it was provided? If yes, what ages are the children?

Would you utilize translation services if they were provided? 

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* 8. Would you utilize translation services if they were provided? 

Would you like to sign up for our mailing list to receive weekly bulletins of family-friendly events, professional trainings, and community “Spotlight,” articles?

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* 9. Would you like to sign up for our mailing list to receive weekly bulletins of family-friendly events, professional trainings, and community “Spotlight,” articles?

Would you or your organization be interested in being featured in our monthly article highlighting a community program?

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* 10. Would you or your organization be interested in being featured in our monthly article highlighting a community program?

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