Training Request Form - Powerful Voices

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Training Request Form
Today’s Date:
Contact name:
Organization:
Phone:
Email Address:
Please specify what training topics you would like covered. If there are specific parts of our Girl
Justice training that you are interested in please note that as well:
Please specify your objective in requesting this training and goals you hope participants will get
out of the training:
Proposed Training Date(s):
Start Time:
*Evening/weekend hours may incur an additional charge
Length of Training (Check One):
Full Day (8 hrs)
Half Day (4 hrs)
2 Hour
Other:_________________________________________________________________
Amount you are able to pay:
*We generally set training fees at $100 per hour to provide two facilitators. Please tell
us if you would like to discuss options for training exchanges or a reduced fee.
Training Location:
Number of Participants:
Participant roles (i.e. volunteers, board members, staff, etc):
Other information that is helpful for us to know:
How do you hear about Powerful Voices? (Please Specify):
Please submit this form to Program Manager, Molly Pencke at . A staff will follow up
with you soon to evaluate our capacity and determine if we have the expertise to meet your needs. Thank you!
1620 18
th
Avenue, Suite 100 ♦ Seattle, Washington, 98122 ♦ 206.860.1026

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