LETS GEAUX LOUISIANA I BLACK VOTERS MATTER I TRAINING & WORKSHOP REQUEST FORM

- Requests should be submitted at least 3 weeks prior to your desired training date to allow time for preparation and coordination.
- Within 48 hours of submission, a member of the BVM South Louisiana team will reach out to schedule a call to finalize the details and make sure we show up fully prepared to serve your organization.
I. PARTNER INFORMATION
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization Name
Your Role/Title at the Organization
Is your work located in North or South Louisiana?
What is your primary parish?
II. TRAINING TOPIC REQUEST

Select your primary topic. You may also select a secondary topic if your event allows time for a combined session.
Select your training.
Select your secondary topic if applicable.
If you selected "Issue-Specific" training, select up to 2 issue areas.
What is the goal of your training?
III: EVENT LOGISTICS
Requested Training Date and Time

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Hour MinutesAM/PM Option
Is this training part of a larger event?
If yes, please describe.
Will you be partnering with or inviting other organizations?
If yes, please list.
Training Format
Event Location: Full Address and/or Virtual Platform (if known)
What materials/technology will be available on-site?
Will you need printed materials?
Training Length
SECTION 4: AUDIENCE INFORMATION
Approximate Amount of Participants
Audience Experience Levels
ADDITIONAL INFORMATION
Anything else you'd like us to know?
Should be Empty:

I. PARTNER INFORMATION

II. TRAINING TOPIC REQUEST

III: EVENT LOGISTICS

SECTION 4: AUDIENCE INFORMATION

ADDITIONAL INFORMATION