Community Educator Workshop Report Question Title * 1. Your name Question Title * 2. Email address Question Title * 3. Your State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY Question Title * 4. Date of PAX Tools Community Workshop Date / Time Date Question Title * 5. Training type In-person Virtual Question Title * 6. The collaborating entity is a (check all that apply) School Faith Organization Community-based Service Agency Other (please specify) Question Title * 7. Did participants receive PAX Tools Kits? Yes No Question Title * 8. Number of participants Question Title * 9. Age of Participants (please list the number) Under 18 18-24 24-64 65+ Question Title * 10. What is the makeup of the group (check all that apply) Parents / Guardians Childcare Workers School-based support (paraprofessionals, office staff, lunch staff, bus drivers, etc) Foster Families Volunteers Legal System (probation, court, law enforcement) Community Service Agency Employee Other (please specify) Question Title * 11. In order to give helpful guidance to new Community Educators, we want to know how you were able to schedule this training. What entities did you collaborate with to schedule and/or promote this training? Question Title * 12. Please list the names of any other PAX Tools Community Educators with whom you facilitated this session of PAX Tools. Done
