Educational Workshop Request Form

Professional Training and Community Education

Please complete the form below to request a training workshop in your area. You can also fax this info to (916) 231-5114. (For Continuing Education Units, register with this form.)

Nature of Request
Organization Name
Does your agency have a total annual budget under $1 million?	Yes No
Contact Person
Address
City
State
Zip
E-mail
Phone
Fax
Location
Time of Event
Topic(s)
Expected Attendance (#)
Preferred Date
2nd choice

back to Education

Educational Workshop Request Form

Professional Training and Community Education

1-800-434-0222

Newsletter sign-up