CARS Training and Technical Assistance (TTA) Request Form

Please complete and submit this form to request training and technical assistance from CARS. A member of our team will respond to you shortly.
Note: If you are requesting TTA under one of the following programs, please instead click through to utilize their project-specific request forms found here: Community Prevention Initiative (CPI)
CRDP LGBTQ Technical Assistance (TA) Center
First Name:*
Last Name:*
Title:*
Organization:*
State, Tribe, or Territory:*
Phone:*
Email:*
What kind of assistance are you requesting?*
Check all that apply.
- Coaching / Consultation
- Training
- Facilitation
- Event Planning / Hosting
- Product / Resource Development (e.g. Evaluation and Data Support)
- Project Management
- Strategic and Action Planning
- Other
If "Other" please describe:*
Please describe your request for assistance:*
If you have a proposed timeline for the requested assistance, please describe:
Please describe any preferences regarding potential CARS team members or subject matter experts with whom you would like to work:
Please provide any other information that would be useful for us to know regarding your request for TA and/or training services:
Source of funding:*
How did you find us?*