Training and Technical Assistance Request

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

* Required

First Name

Last Name

Organization/Agency

NOTE: This request is only for organizational/agency training and technical assistance. If you are interested in individual training, please visit our Resources and National Victim Assistance Academy pages for online training opportunities.

Title

Email Address

Organization Phone Number

Organization Street Address

Organization City

Organization State/Territory

Organization Zip Code

Do you receive funding from the Department of Justice, either directly or indirectly, e.g., VOCA, VAWA, or Byrne?

Yes

I'm not sure

What training and/or technical assistance topics are you interested in?

How would you like the training and/or technical assistance to be delivered?

Virtual

In-person

Hybrid

When would you like the training and/or technical assistance to begin?

Please input date (mm/dd/yyyy)

How many participants do you expect to attend the training and/or receive technical assistance?

Is there any other information you would like to provide about this request?

I attest that (1) the information provided in this request is accurate and verifiable and (2) my organization’s leadership approved the submission of this request.

I agree

Training & Technical Assistance Center

Training and Technical Assistance Request