Training Request

"*" indicates required fields

Each ERMA Agency is allotted to host one sponsored training session per Program Year. Regardless of training format (webinar/in person), host agencies are required to commit to no fewer than 15 attendees.

Agencies who request an in-person training must provide a facility that can accommodate up to 50 attendees in order to allow participation from neighboring agencies. If your training facility does not have the capacity to host neighboring agencies in addition to your own staff, please select "Individual" under Training Type.

Your name*

First Last

Email*

Phone*

Name of Agency*

Training Type*

Regional (Your facility has capacity for additional agencies)

Individual (Host agency only; this type may incur a cost)

Which training format would you prefer to schedule?*

Live Training

Webinar

Address of training facility*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

What is the capacity of your training facility?*

Please enter a number greater than or equal to 15.

How many individuals will participate from your agency?*

Please enter a number greater than or equal to 15.

Please select the training session you would like presented at your agency:*

Please upload your Agency's policy on Sexual Harassment.

Max. file size: 50 MB.

Will you require MCLE credits for this training?

Yes

Please provide additional scheduling preferences (e.g., date range, time range, etc.)*

COVID-19 Acknowledgment*

I understand it is our agency's responsibility to adhere to all local, state, and federal COVID-19 safety mandates.

Attendee Commitment*

I understand our agency must commit to at least 15 attendees, and the event may be canceled or rescheduled if this requirement is not met.

This field is for validation purposes and should be left unchanged.

Training Request Form

Training Request