Contact Us About Ohio PREP Region 4 Training

Contact for about receiving PREP training

Name of Organization/Agency*
What county/counties does your organization serve?*
Please highlight all that apply. Hold down the Control button and click each county name to select more than one.
Name*
First Last
Title
Email*
Phone*
What trainings are you interested in discussing?
Please highlight all that apply. Hold down the Control button and click each training name to select more than one.
Anticipated Number of Attendees
What is your expected timeline for participating in training?
Has your organization delivered PREP in the past?*
- Yes
- No
- Not sure
What programs and services does your organization provide to young people?
How do young people come to work with you?
Do all of your training participants have access to equipment on which to take the training(s)?
- Yes
- No
- Not sure

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