Training relationship inquiry form

Training relationship inquiry form

We recognize there is no one-size fits all when it comes to working with individuals who have complex health and social needs. Each of our training relationships is unique and based on the needs and capacity of your organization. Please fill out the form below to give us a better understanding of your needs and we will contact you to set up a call.
Name *

First Name Last Name
Title
Organization name *
Email *
example@example.com
Primary sector of organization *
Briefly describe the issue for which technical assistance is being requested. Provide background and context that would be helpful in gaining a better understanding of the issue you are trying to address: *

0/500
What offering most closely represents your request or area of need? *

Experiential training - We offer staff and manager training on a wide variety of topics including patient engagement and empowerment (COACH), reflective supervision (RELATE), working in multidisciplinary teams, etc. Consultation/coaching- We provide strategic support and coaching to executives and program leaders to help you achieve your goals. System codesign and implementation - We provide comprehensive support, including project management, training, and coaching, to help you design and implement your complex care solution, whether its a new program or systems level transformation.
When are you looking to start? *

Month Day Year
Date
What is the anticipated duration?
What is your budget? *
How did you hear about our services?

Colleague Monthly newsletter Social media Internet search Webinar
Optional: Please upload any additional information that may be helpful to your request:

Browse Files

Cancel of
I would like to receive monthly Camden Coalition emails, including updates on new resources, initiatives, and events. The Camden Coalition will not share your personal information *

Yes No
My organization will need the following accomodations:

Captioning Translation Large print Advance copy and/or transcription of slides and materials
If you have questions, please contact CamdenTA@camdenhealth.org.
Account ID
Should be Empty: