SHIFT NC

Online On-Demand Training Application

Please submit this form at least 45 days prior to your desired training date.

 

Online On-Demand Training Application Form

Contact Information

Workshop Information

Please be specific about your requested time.
Please be specific about your requested time.
Please include location specifics, as well as city and county.
Please tell us as much as possible about the target audience.
If your workshop to others outside of your organization, we can create an online registration page.
Note: All CEUs require a $10 per day per person fee
Check all that apply.

Shipping Information (For Materials)