MAP RFT Form

MAP Request For Training (RFT) Form

The Mobile Advocacy Training Program (MAP) is a training project sponsored by the Arizona Coalition for Victim Services (ACVS). The goal of the program is to bring free training to agencies who cannot afford to attend traditional trainings.
To request a training; please review the requirements, fill out the Request for Training form (RFT). The Project Director will respond with any questions and to confirm dates.
Name of Agency Requesting Training
Name of Agency
Address of Training Site

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Training topics (check all that apply)

Domestic ViolenceSexual AssaualtVictims' RightsEthicsWorking with Child VictimsDUIManaging a Victim Services ProgramWorking with Human Trafficking VictimsCommunication with Victims in CrisisLeadershipGrant WritingConflict ResolutionWorking with a Multi-Generational StaffStalkingCriminal Justice ProcessCrisis InterventionVicarious TraumaFinancial CrimesVolunteer Recruitment and ManagementCoaching and DisciplineEffective Hiring PracticesOther
If you checked "other" pease explain
What training needs are you trying to address?
What is the population we will be training?
What type of victims do they serve?
When would you like the training? Month/specific date(s)
Type of Training:

BasicAdvanced
Explain:
Please describe training facility
Room setup (check all that apply)

Conference room with table and chairsChairs in a rowTablesOther
If checked "other" explain
AV check all that apply

ProjectorLaptopFlipchartWifi
Requestor Contact Info:
Name

First NameLast Name
Organization/ Affiliation
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Requirements of the agency requesting training:
1. You must obtain an appropriate training site
2. You agree to distribute, collect and return to the Project Director, evaluations of the training within a week
3. You agree to complete the hosting agency evaluation and return it to the Project Director within a week
4. You agree that if you cancel the training within 24 hours you will reimburse ACVS for any travel costs that are incurred as a result of the cancelation
I agree to the terms listed above:
Name

First NameLast Name
Signature

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Date

MonthDayYear
Date
Should be Empty:

MAP Request For Training (RFT) Form