Health Literacy Training Request Form
What is the name of your organization or group?
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Does your group or organization serve Franklin County residents? (At this time, only organizations or groups that serve Franklin County residents will be able to schedule trainings. Select only one answer.)
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Yes
No
Please provide a point of contact for follow-up inquires related to the training.(Make sure to include the individuals full name, email address, and phone number)
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Full name
Email address
Please enter a valid phone number.
What type of training would you be interested in scheduling?
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Public Heath Overview Training(90 minutes)
Clinical Overview Training (90 minutes)
Clinical Overview Training (3 hours)
Please select three available dates and times for the training (First option) * Trainings will only be available during business hours (Ex: Monday Friday 9:00am 5:00pm)
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Second option
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Third option
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What is the estimated size of the group participating in the training?
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1-25 people (Small)
26-50 people (Medium)
51 and up (Large)
Would you prefer In-person or a Virtual training?
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In-person training (availability may change due to COVID-19 transmission rates)
Virtual training (Recommended)
All participants are required to complete a pre and post test related to the training. If available, please provide a list of the attendees including their full name and email address at the time of submitting the training request or closer to the date of the training. Please be aware, this list is a requirement.
How did you here about us?
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Please Select
Franklin County Public Health
Columbus Public Health
Nationwide Children's Hospital
Newsletter
Social Media
Website
other
Submit
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