HOPE® Training Interest Survey Your Name * First Name Last Name Email * Phone * (###) ### #### What mode of training are you most interested in? * A live group training facilitated by a HOPE® Certified Facilitator in a virtual setting. An in-person training facilitated by a HOPE® Certified Facilitator hosted at my organization. An in-person training facilitated by a HOPE® Certified Facilitator hosted at Midland Child Advocacy Center (please note: space is limited; we will discuss options with you after submittal). How many people do you expect to attend the training? * 0-10 10-20 20-40 40-60 60+ What is your timeframe for this training? In the coming weeks In the coming months Other Are you a Midland County resident? * Yes No If you selected no, what county do you reside in? Which of the following best describes your field of work? Athletics Business Childcare Education Faith-Based Medical Mental Health Other Youth-Serving Organization Youth Camp Other Organization Name Thank you for your interest in HOPE®! One of our Certified Facilitators will be in contact with you soon. REPORT CHILD ABUSECall 855-444-3911