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Familyhood Champions Training Application
Select Training
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PREP 8.0 | May 6-7
CLIMB | June 17-18
First Name
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Last Name
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Phone
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Email
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County of Residence
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I am an...
employee of an organization in which I facilitate workshops.
individual seeking to offer workshops independently in the community.
What is the organization name?
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What is your job title within the organization?
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What population(s) does the organization serve?
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Do you have a venue secured to offer workshops?
Yes
No
Great! What is the venue name?
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What city is the venue located in?
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What is your strategy for identifying a venue?
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Which county or counties do you plan to serve?
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How many workshop series do you aim to implement over the next year (post-training)?
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How many participants do you anticipate serving per workshop series?
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How do you plan to recruit participants? Where will you focus your efforts?
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What barriers do you anticipate in planning and implementing workshops?
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What type of support would help you overcome these challenges?
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After training, you’ll have access to resources. What specific topics would be beneficial?
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What community needs will these workshops help address?
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How does addressing financial capabilities fit your organization’s existing services or programs?
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Does your organization have staff or volunteers to lead financial capabilities workshops?
Yes
No
Describe the population you serve (e.g., students, foster parents, etc.).
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Describe your role and how you plan to use the training content.
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What specific needs or issues will this training help address?
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After training, you’ll have access to resources. What specific topics would be beneficial?
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I acknowledge that this training prepares me to lead workshops. Upon completion, I commit to offering free workshops in my community using the provided curricula.
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I acknowledge that this training prepares me to lead workshops. Upon completion, I commit to offering free workshops in my community using the provided curricula.
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I acknowledge that this training is designed to enhance my professional skills and does not require me to lead workshops in my community.
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I acknowledge that this training is designed to enhance my professional skills and does not require me to lead workshops in my community.
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Is there anything else you’d like to share?
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