Request Training Request a Training Engagement Organizer Contact* First Last Occupation*ActivismArchitecture and EngineeringArts and MusicAttorney,Legal Services ProviderBusiness,Financial ServicesCaregiverChild Serving AgenciesCommunications,Marketing,MediaCommunity Based Services ProviderComputer and Information TechnologyConstruction and ManufacturingCosmetologist, Esthetician, StylistCustomer ServiceEducationElected Official - FederalElected Official - State and LocalEntertainment,Leisure,Hospitality,TourismFirst RespondersFood ServicesGovernment, Law and Policy-FederalGovernment, Law and Policy-State,LocalHealthcare ServicesHouse of WorshipJudge,MagistrateLaw Enforcement,ProbationMilitary PersonnelNon-Governmental Organization-NGOOtherProsecutorPsychologist,PsychiatristReal EstateResidential Services ProviderRetailRetiredSalesScienceSelf-EmployedSkilled Labor - TradesSocial Worker,Counselor,TherapistTransportationEmail* Accessible Phone #*Type of Training Requested Customized Training Breakout Session/ Workshop Event Date* MM slash DD slash YYYY Is This Date Flexible? Yes No Notes about Date Range FlexibilityEvent Location* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Will You Arrange the Venue Location? Yes No Length of Training Requested Sponsoring Organization Name of Requested Trainer Focus/Objective of Training:Will this be a stand-alone training effort or part of a larger, planned event?Intended Audience Social Services/Child Welfare Church Groups Rotary/Civic Clubs Law Enforcement Non-Profit Legal Juvenile Justice Other Estimated # of Attendees Will Continuing Education Credits (CEUs) be offered? Yes PR/Press/Media Contact AV Capabilties of the Venue Projector Computer DVD Sound System None of the Above Please select the following if you are able to provide travel expenses, an honorarium, or donation: Airfare Lodging Per Diem Ground Transportation/Mileage Contact List of Event Attendees Donation to Shared Hope in lieu of speaker's fee Set Amount of Money for All Expenses Speaker Fee None of the Above Shared Hope International Privacy PolicyNewsletter Yes, Please keep me informed of Shared Hope news and updates. Δ
