The Network and CADER -

Group Enrollment Request Form

Please submit this request form to be considered for a group training.

First Name*

Last Name*

Email*

Phone*

Work Information - Name of Organization*

We are requiring the group facilitator completed the online version of this course. Please confirm the facilitator meets this requirement.*

Yes, I can verify the facilitator completed the online course.

No, the facilitator has not complete the online course.

Please describe how you plan on structuring the group training.*

You will receive a confirmation email that will outline next steps for group training.