Request TrainingRequest a Training EngagementOrganizer Contact* First Last Occupation*ActivismArchitecture & EngineeringArts & MusicAttorney/Legal Services ProviderBusiness/Financial ServicesCaregiverChild Serving AgenciesCommunications/Marketing/MediaCommunity Based Services ProviderComputer and Information TechnologyConstruction & ManufacturingCosmetologist, Esthetician, StylistCustomer ServiceEducationElected Official - FederalElected Official - State & LocalEntertainment & Leisure/Hospitality & TourismFirst RespondersFood ServicesGovernment, Law & Policy, FederalGovernment, Law & Policy, State & LocalHealthcare ServicesHouse of WorshipJudge/MagistrateLaw Enforcement & ProbationMilitary PersonnelNon-Governmental Organization (NGO)OtherProsecutorPsychologist/PsychiatristReal EstateResidential Services ProviderRetailRetiredSalesScienceSelf-EmployedSkilled Labor - TradesSocial Worker/Counselor/TherapistTransportationEmail* Accessible Phone #*Type of Training RequestedCustomized TrainingBreakout Session/ WorkshopEvent Date* Date Format: MM slash DD slash YYYY Is This Date Flexible? Yes NoNotes 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Will You Arrange the Venue Location?YesNoLength of Training RequestedSponsoring OrganizationName of Requested TrainerFocus/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 OtherEstimated # of AttendeesWill Continuing Education Credits (CEUs) be offered? YesPR/Press/Media ContactAV Capabilties of the Venue Projector Computer DVD Sound System None of the AbovePlease 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 AboveShared Hope International Privacy PolicyNewsletter Yes, Please keep me informed of Shared Hope news and updates.
