NEC TAC Training and Technical Assistance Request

NEC TAC Training and Technical Assistance Request
Name (First and Last):
Pronouns:
Organization:
Email:
example@example.com
Phone:

Area CodePhone Number
Organization classification: ( please check all that apply)

Behavioral Health OrganizationEmployer or Potential Employer of PeersState or Local Government AgencyPeer Run OrganizationYouth Focused Organization
Some examples of training that we can offer include but are not limited to the following:
- Emotional CPR Training: An educational program designed by people with lived experience to teach people to assist others through an emotional crisis
- Youth Emotional CPR Training
- Finding Our Voice Training: A training program that teaches people with lived experience how to participate in advocacy and transform their anger into their passionate voice
- Youth Finding Our Voice Training
- Implicit Bias Training
What is the area of technical assistance you are requesting?

Integration of Peers in Treatment Delivery SystemsCrisis Response IntegrationFamily Engagement in Mental Health TreatmentYouth Engagement in Mental Health TreatmentYouth Leadership DevelopmentPeer Specialist TrainingBecoming a Peer ProviderFinancial Literacy and Employment SkillsOther
Please describe your technical assistance request.
What are the goals and outcomes you would like to achieve as a result of this technical assistance?
Are you a peer specialist?

YesNo
What State/U.S. Territory are you from?
What is the best way to contact you?

EmailPhone
Should be Empty: