Request a Training

Member Representative *Required

Organization Information

Training Information

I would like to request the following additional trainings for my organization*:

Please select a potential date range in which you would be available to host a SafeZone Training. Please select dates at least 4-6 weeks in advance.

Check this box if you are unsure about potential training dates.

Domestic Violence Shelter Program

Rape Crisis/ Sexual Violence Program

Dual Domestic Violence/ Sexual Violence Program

Law Enforcement Program

Other Social Service Agency Program

Please select County

Why are you requesting additional training sessions?*

Please enter your answer

Approximately how many people would attend this training?*

Please enter how many people attend

Additional Comments

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