Name *

First Name

Last Name

Phone *

(###)

###

####

Your Role *

Teacher

Principal/Assistant Principal

Counselor

Other School Staff

N/A

Which trainings are you interested in? *

(Check all that apply.)

Trauma-Informed Care: Supporting Students During Difficult Times (2-3Hr)

Caring for Yourself and Others: A Trauma-Informed Approach to Self-Care (1.5Hr)

Supporting Organizational Wellness: A Trauma-Informed Approach (1.5Hr)

Other

Are you in a position to make professional development decisions and schedule trainings for your school? *

If no, please provide alternate contact information for the authorized decision-maker.

Yes

No

How did you hear about us?

Email newsletter or ad

Social media

Referral from colleague or administrator

Statement of Consent *

(Consent is required.)

I consent to receiving email communications.