Request for Implicit Bias Training for your Organization

1

Please select a training that best meets the needs of your group* This field is required.

I would like my team to meet the LARA requirement and receive MI Social Work CEUs

I would like my team to meet the LARA requirement and receive CMEs (Medicine)

I would like my team to only meet the LARA requirement for this training

2

We offer a 2 hour version for $1200.00 and a 3 hour version for $1500.00 specifically for your organization in a live virtual format for up to 50 attendees. Knowing this information, is this opportunity still of interest?* This field is required.

Yes, I'd like to complete the request

3

For CMEs we offer a 2 hour version for $2500.00 and a 3 hour version for $3750.00 specifically for your organization in a live virtual format for up to 50 attendees. Knowing this information, is this opportunity still of interest?* This field is required.

Yes, I'd like to complete the request

4

I am interested in:* This field is required.

The 2 hour Version

The 3 Hour Version

Undecided

Type option 4

5

Name* This field is required.

First Name

Last Name

6

Title* This field is required.

7

Email* This field is required.

example@example.com

8

Phone Number

Please enter a valid phone number.

9

Name of your Organization* This field is required.

10

Approximately, how many people at your organization would experience this training?* This field is required.

11

Approximately when would you like the training(s) to take place (Dates/Times)?* This field is required.

12

Do you have any additional questions that may help us with our planning and discussion?