Training Request – Northwest ADA Center

Contact Information

First Name

Last Name

Position

Agency/Organization

Email

Phone

Cell Phone

Training Topic

Training Topic Other

Type of Event

Type of Event Other

Preferred Training Format

In-person

Virtual (Zoom, Teams, etc.)

No Preference

Preferred Location (if in-person)

Preferred Training Date

Please provide a possible training date, or indicate the month you would like to schedule a training in the comments field.

Preferred Time

Our trainings are typically 60 minutes including time for Q&A.

Training Length

We may be able to shorten or extend this length to fit your group.

Training Length Other

Audience Information Other

Estimated Size of Audience

Letters of Attendance

None

Do you have a budget for this project?

Yes

No

Not sure

Reasonable Accommodation Requests

Examples: ASL interpreters, captions, large print materials, etc. Please write "N/A" if no accommodations are needed.

Other Comments/Questions

Please list any training needs or preferences not addressed above, including any specific questions or scenarios that you would like us to cover.