Fields marked with an
* are required
If you have specific speakers or trainers in mind for the event, please let us know here.
(confirmed and unconfirmed)
Location for Event or Training
Venue, city, state, country, or region. If unknown or n/a please indicate.
If you don't know the location or date of the event please explain here.
Is this a recorded or photographed event?
Yes (audio only)
Yes (audio & video)
How many people will be attending?
fewer than 50
Who is attending or participating?
e.g., Attendees may include: youth, survivors, parents, attorneys, law enforcement, first responders, service providers, volunteers, church members, teachers and school officials.
What type of speaking event will this be?
If other, please specify
What is the requested length of the training or presentation?
Will there be a Question & Answer session?
What is the budget for the event or training described?
$1,000 - $5,000
$500 - $1,000
Do you have an additional budget for travel? If so what does this include?
If other selected for additional budget, please specify.
Please share your event website, registration links or any more details.
Are 30% of seats reserved for partner organizations and agencies? (Recommended)
This model assists with collaboration and coordination among agencies. It also helps to develop and strengthen a community based network that supports and honors the work of local survivors.
Are 10% of seats reserved for survivor participants? (Recommended)
Survivors working at the local level are often searching for ways to contribute locally. If you are unable to reserve 10% of your seats, consider hosting or holding a separate closed event for local survivors.
What details should be listed on our public calendar?
Please share your website, along with any additional comments and information.
What is five plus 4?