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Online Form for Training Requests | ADA National Network
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<li data-id="3436" data-level="3" data-type="menu_item" data-class="" data-xicon="" data-caption="" data-alignsub="" data-group="0" data-hidewcol="0" data-hidesub="0" class="tb-megamenu-item level-3 mega"> <a href="/find-your-region#region1" title="Region 1 - New England ADA Center"> Region 1 - New England ADA Center </a> </li> <li data-id="2962" data-level="3" data-type="menu_item" data-class="" data-xicon="" data-caption="" data-alignsub="" data-group="0" data-hidewcol="0" data-hidesub="0" class="tb-megamenu-item level-3 mega"> <a href="/find-your-region#region2" > Region 2 - Northeast ADA Center </a> </li> <li data-id="2963" data-level="3" data-type="menu_item" data-class="" data-xicon="" data-caption="" data-alignsub="" data-group="0" data-hidewcol="0" data-hidesub="0" class="tb-megamenu-item level-3 mega"> <a href="/find-your-region#region3" title="Region 3 - Mid-Atlantic ADA Center"> Region 3 - Mid-Atlantic ADA Center </a> </li> <li data-id="2964" data-level="3" 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data-type="menu_item" data-class="" data-xicon="" data-caption="" data-alignsub="" data-group="0" data-hidewcol="0" data-hidesub="0" class="tb-megamenu-item level-3 mega"> <a href="/find-your-region#region7" title="Region 7 - Great Plains ADA Center"> Region 7 - Great Plains ADA Center </a> </li> <li data-id="2968" data-level="3" data-type="menu_item" data-class="" data-xicon="" data-caption="" data-alignsub="" data-group="0" data-hidewcol="0" data-hidesub="0" class="tb-megamenu-item level-3 mega"> <a href="/find-your-region#region8" title="Region 8 - Rocky Mountain ADA Center"> Region 8 - Rocky Mountain ADA Center </a> </li> <li data-id="2969" data-level="3" data-type="menu_item" data-class="" data-xicon="" data-caption="" data-alignsub="" data-group="0" data-hidewcol="0" data-hidesub="0" class="tb-megamenu-item level-3 mega"> <a href="/find-your-region#region9" title="Region 9 - Pacific ADA Center"> Region 9 - Pacific ADA Center </a> </li> <li data-id="2970" data-level="3" data-type="menu_item" data-class="" data-xicon="" data-caption="" data-alignsub="" data-group="0" data-hidewcol="0" data-hidesub="0" class="tb-megamenu-item level-3 mega"> <a href="/find-your-region#region10" title="Region 10 - Northwest ADA Center"> Region 10 - Northwest ADA Center </a> </li> <li data-id="2971" data-level="3" data-type="menu_item" data-class="" data-xicon="" data-caption="" data-alignsub="" data-group="0" data-hidewcol="0" data-hidesub="0" class="tb-megamenu-item level-3 mega"> <a href="/find-your-region#KT" title="ADA Knowledge Translation Center"> ADA Knowledge Translation Center </a> </li> </ul> </div> </div> </div> </div> </div> </li> </ul> </div> </div> </div> </div> </div> </li> <li data-id="2973" data-level="1" data-type="menu_item" data-class="" data-xicon="" data-caption="" data-alignsub="right" data-group="0" data-hidewcol="0" data-hidesub="0" class="tb-megamenu-item level-1 mega mega-align-right dropdown"> <a href="/events-calendar/upcoming" class="dropdown-toggle" title="Events"> Events <span class="caret"></span> </a> <div data-class="" data-width="500" style="width: 500px;" class="tb-megamenu-submenu dropdown-menu mega-dropdown-menu nav-child"> <div class="mega-dropdown-inner"> <div class="tb-megamenu-row row-fluid"> <div data-showblocktitle="0" data-class="" data-width="12" data-hidewcol="" id="tb-megamenu-column-8" class="tb-megamenu-column span12 mega-col-nav"> <div class="tb-megamenu-column-inner mega-inner clearfix"> <div data-type="block" data-block="views--calendar-block_2" class="tb-megamenu-block tb-block tb-megamenu-block"> <div class="block-inner"> <div id="block-views-calendar-block-2" class="block block-views"> <div class="block-inner clearfix"> <div class="block-content clearfix"> <div class="view view-calendar view-id-calendar view-display-id-block_2 view-dom-id-038bc6aff6e63ce2c2e012ded91257ec"> <div class="view-content"> <div class="item-list"> <ul> <li class="views-row views-row-1 views-row-odd 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class="views-row views-row-3 views-row-odd"> <div class="views-field views-field-field-short-title"> <div class="field-content"><a href="/event/loud-and-proud-maximizing-your-accessibility-info-guests">Loud and Proud! Maximizing Your Accessibility Info for Guests</a></div> </div> <span class="views-field views-field-field-datetime"> <span class="field-content"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2024-12-12T00:00:00-08:00">December 12, 2024</span></span> </span></li> <li class="views-row views-row-4 views-row-even views-row-last"> <div class="views-field views-field-field-short-title"> <div class="field-content"><a href="https://adata.org/event/ada-lunch-learn-webinar-series-effective-communication">Lunch and Learn: Effective Communication</a></div> </div> <span class="views-field views-field-field-datetime"> <span class="field-content"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2024-12-12T00:00:00-08:00">December 12, 2024</span></span> </span></li> </ul></div> </div> <div class="view-footer"> <a href="/events-calendar/upcoming" class="read_more">More events...</a> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </li> </ul> </div> </div> </div> </div> </div> </div> </div> </div> </div> <!-- //MAIN NAV --> </div> </div> </div> <!-- // MAIN MENU --> <!-- BREADCRUMB --> <div id="breadcrumb-wrapper" class="wrapper"> <div class="container grid-12"> <div class="grid-inner clearfix"> <h2 class="element-invisible">You are here</h2><div class="breadcrumb"><span class="inline odd first"><a href="/">Home</a></span> <span class="delimiter">»</span> <span class="inline even last"><a href="/resources">Resources</a></span></div> <!--<div class="subpage-search"> <form action="/search-results" method="get" role="search"> <label for="search-input" class="element-invisible">Search Site</label> <input id="search-input" name="query" style="text-indent: 1rem;"> <button type="submit" value="submit">Search</button> </form> </div> --> </div> </div> </div> <!-- //BREADCRUMB --> <div role='main' id='skip-to-main-content'> <div id="main-wrapper" class="wrapper"> <div class="container grid-12"> <div class="container-inner clearfix"> <div class="group-cols-1 group-12 grid grid-12"> <div class="group-cols-1 group-12 grid grid-12"> <h1 id="page-title"><span>Online Form for Training Requests</span></h1> <!-- MAIN CONTENT --> <div id="main-content" class="tb-main-box grid grid-12 section"> <div class="grid-inner clearfix"> <div class="region region-content"> <div id="block-system-main" class="block-system"> <div class="block-inner clearfix"> <div class="block-content clearfix"> <div id="article-283" class="article node node-webform node-odd node-full clearfix" about="/training-request-form" typeof="sioc:Item foaf:Document"> <div class="node-content"> <div class="section field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item odd" property="content:encoded"><p>The ADA National Network can also work with you to develop training targeted to a specific audience. Content and timelines can be tailored to meet your needs. No matter the subject area, we will work with you to ensure that the content is both relevant and engaging for your audience.</p> <p>To request training from your regional center, please fill out our Training Request Form.</p> <p>All required fields are marked with an asterisk * in red.</p> </div></div></div><form class="webform-client-form webform-client-form-283" action="/training-request-form" method="post" id="webform-client-form-283" accept-charset="UTF-8"><div><fieldset class="webform-component-fieldset webform-component--contact-information fieldset form-wrapper titled"> <legend> <span class="fieldset-title fieldset-legend"> Contact Information </span> </legend> <div class="fieldset-content fieldset-wrapper clearfix" class="webform-component-fieldset webform-component--contact-information fieldset form-wrapper titled"> <div class='description'></div><div class="form-item webform-component webform-component-textfield webform-component--contact-information--first-name"> <label for="edit-submitted-contact-information-first-name">First Name <span class="form-required" title="This field is required.">*</span></label> <input required="required" type="text" id="edit-submitted-contact-information-first-name" name="submitted[contact_information][first_name]" value="" size="60" maxlength="25" class="form-text required" /> </div> <div class="form-item webform-component webform-component-textfield webform-component--contact-information--last-name"> <label for="edit-submitted-contact-information-last-name">Last Name <span class="form-required" title="This field is required.">*</span></label> <input required="required" type="text" id="edit-submitted-contact-information-last-name" name="submitted[contact_information][last_name]" value="" size="60" maxlength="25" class="form-text required" /> </div> <div class="form-item webform-component webform-component-textfield webform-component--contact-information--organization"> <label for="edit-submitted-contact-information-organization">Organization </label> <input type="text" id="edit-submitted-contact-information-organization" name="submitted[contact_information][organization]" value="" size="60" maxlength="255" class="form-text" /> </div> <div class="form-item webform-component webform-component-radios webform-component--contact-information--preferred-method-of-contact"> <label for="edit-submitted-contact-information-preferred-method-of-contact">Preferred method of contact <span class="form-required" title="This field is required.">*</span></label> <div id="edit-submitted-contact-information-preferred-method-of-contact" class="form-radios"><div class="form-item form-type-radio form-item-submitted-contact-information-preferred-method-of-contact"> <input required="required" type="radio" id="edit-submitted-contact-information-preferred-method-of-contact-1" name="submitted[contact_information][preferred_method_of_contact]" value="0 " class="form-radio" /> <label class="option" for="edit-submitted-contact-information-preferred-method-of-contact-1"> Email </label> </div> <div class="form-item form-type-radio form-item-submitted-contact-information-preferred-method-of-contact"> <input required="required" type="radio" id="edit-submitted-contact-information-preferred-method-of-contact-2" name="submitted[contact_information][preferred_method_of_contact]" value="1 " class="form-radio" /> <label class="option" for="edit-submitted-contact-information-preferred-method-of-contact-2"> Phone </label> </div> </div> </div> <div class="form-item webform-component webform-component-textfield webform-component--contact-information--phone"> <label for="edit-submitted-contact-information-phone">Phone </label> <input type="text" id="edit-submitted-contact-information-phone" name="submitted[contact_information][phone]" value="" size="60" maxlength="128" class="form-text" /> </div> <div class="form-item webform-component webform-component-textfield webform-component--contact-information--email"> <label for="edit-submitted-contact-information-email">Email </label> <input type="text" id="edit-submitted-contact-information-email" name="submitted[contact_information][email]" value="" size="60" maxlength="128" class="form-text" /> </div> <div class="form-item webform-component webform-component-textfield webform-component--contact-information--city"> <label for="edit-submitted-contact-information-city">City <span class="form-required" title="This field is required.">*</span></label> <input required="required" type="text" id="edit-submitted-contact-information-city" name="submitted[contact_information][city]" value="" size="60" maxlength="25" class="form-text required" /> </div> <div class="form-item webform-component webform-component-select webform-component--contact-information--state"> <label for="edit-submitted-contact-information-state">State <span class="form-required" title="This field is required.">*</span></label> <select required="required" id="edit-submitted-contact-information-state" name="submitted[contact_information][state]" class="form-select required"><option value="" selected="selected">- Select -</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="CA">California</option><option value="CNMI">Commonwealth of the Northern Mariana Islands</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PU">Republic of Palau</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select> </div> <div class="form-item webform-component webform-component-email webform-component--contact-information--ada-region-email"> <label for="edit-submitted-contact-information-ada-region-email">ada_region_email <span class="form-required" title="This field is required.">*</span></label> <input required="required" class="email form-text form-email required" type="email" id="edit-submitted-contact-information-ada-region-email" name="submitted[contact_information][ada_region_email]" value="please@enable.javascript.com" size="60" /> </div> </div> </fieldset> <fieldset class="webform-component-fieldset webform-component--training-information fieldset form-wrapper titled"> <legend> <span class="fieldset-title fieldset-legend"> Training Information </span> </legend> <div class="fieldset-content fieldset-wrapper clearfix" class="webform-component-fieldset webform-component--training-information fieldset form-wrapper titled"> <div class='description'></div><div class="form-item webform-component webform-component-textfield webform-component--training-information--desired--training-dates"> <label for="edit-submitted-training-information-desired-training-dates">Desired training date(s) </label> <input type="text" id="edit-submitted-training-information-desired-training-dates" name="submitted[training_information][desired__training_dates]" value="" size="60" maxlength="128" class="form-text" /> </div> <div class="form-item webform-component webform-component-radios webform-component--training-information--preferred-training-location"> <label for="edit-submitted-training-information-preferred-training-location">Preferred training location <span class="form-required" title="This field is required.">*</span></label> <div id="edit-submitted-training-information-preferred-training-location" class="form-radios"><div class="form-item form-type-radio form-item-submitted-training-information-preferred-training-location"> <input required="required" type="radio" id="edit-submitted-training-information-preferred-training-location-1" name="submitted[training_information][preferred_training_location]" value="0 " class="form-radio" /> <label class="option" for="edit-submitted-training-information-preferred-training-location-1"> online </label> </div> <div class="form-item form-type-radio form-item-submitted-training-information-preferred-training-location"> <input required="required" type="radio" id="edit-submitted-training-information-preferred-training-location-2" name="submitted[training_information][preferred_training_location]" value="1 " class="form-radio" /> <label class="option" for="edit-submitted-training-information-preferred-training-location-2"> in-person </label> </div> </div> </div> <div class="form-item webform-component webform-component-select webform-component--training-information--preferred-training-format"> <label for="edit-submitted-training-information-preferred-training-format">Preferred Training format </label> <select id="edit-submitted-training-information-preferred-training-format" name="submitted[training_information][preferred_training_format]" class="form-select"><option value="" selected="selected">- None -</option><option value="0 "> Conference</option><option value="1 "> Information Booth</option><option value="2 "> Keynote</option><option value="3 "> Lecture/Presentation</option><option value="4 "> Workshop</option><option value="5 "> Other</option></select> </div> <div class="form-item webform-component webform-component-select webform-component--training-information--audience"> <label for="edit-submitted-training-information-audience">Audience </label> <select id="edit-submitted-training-information-audience" name="submitted[training_information][audience]" class="form-select"><option value="" selected="selected">- None -</option><option value="0 "> Associations (Professional Associations, Clubs, etc.)</option><option value="1 "> Business (profit or non-profit)</option><option value="2 "> Disabilities Organization/Advocate</option><option value="３ "> Educational Institution or Entity</option><option value="4 "> State/Local Government Agency or Entity</option><option value="5 "> Individual with Disability or Family Member</option><option value="6 "> Media</option><option value="7 "> Religious Organization</option><option value="8 "> Service Provider</option><option value="9 "> Other</option></select> </div> <div class="form-item webform-component webform-component-select webform-component--training-information--primary-training-topic"> <label for="edit-submitted-training-information-primary-training-topic">Primary Training Topic <span class="form-required" title="This field is required.">*</span></label> <select required="required" id="edit-submitted-training-information-primary-training-topic" name="submitted[training_information][primary_training_topic]" class="form-select required"><option value="" selected="selected">- Select -</option><option value="0 "> Education</option><option value="1 "> Emergency Preparedness</option><option value="2 "> Employment (ADA Title I)</option><option value="3 "> Facility Access</option><option value="4 "> General ADA Information</option><option value="5 "> Hospitality</option><option value="6 "> Other Laws</option><option value="7 "> Public Accommodations (ADA Title III)</option><option value="8 "> State & Local Government (ADA Title II)</option><option value="9 "> Technology (Accessible)</option><option value="10 "> Telecommunication (ADA Title IV)</option><option value="11 "> Transportation</option><option value="12 "> Veterans</option></select> </div> <div class="form-item webform-component webform-component-textarea webform-component--training-information--comment-question"> <label for="edit-submitted-training-information-comment-question">Comment/Question </label> <div class="form-textarea-wrapper resizable"><textarea id="edit-submitted-training-information-comment-question" name="submitted[training_information][comment_question]" cols="60" rows="5" class="form-textarea"></textarea></div> </div> </div> </fieldset> <input type="hidden" name="details[sid]" /> <input type="hidden" name="details[page_num]" value="1" /> <input type="hidden" name="details[page_count]" value="1" /> <input type="hidden" name="details[finished]" value="0" /> <input type="hidden" name="form_build_id" value="form-_Siu8VhBxZZQhK8lU_e4nIaFc84YL4PTZrYVqMwQ6Dk" /> <input type="hidden" name="form_id" 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