CTHVN Facilitator Training Registration
December 9th-11th, 9am-5pm - 2075 Silas Deane Hwy, Rocky Hill, CT 06512
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
In a few sentences, why do you want to take the CTHVN Facilitator Training?
*
Are you willing to commit to being a CHTVN facilitator for Advocacy Unlimited after completion of the course? (Commitment doesn't guarantee placement as facilitator)
*
Yes
No
If you answered "Yes" to the above question please indicate what times you are most available to run groups.
Are you fluent in any languages other than English?
Spanish
Polish
French
Hindi
Italian
Other
Do you require any accessibility accommodations for this training?
Submit
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