GFSC

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Subject: Workshop Request

If you wish to arrange for a workshop in your country, community or region, please complete the following. We need a minimum of 16 participants for workshops in North America. Please contact us to discuss ideas for contacting local agencies or organizations in your area for potential workshop participation.

Name: ________________________________________________

Email Address: __________________________________________

Telephone: ____________________________________________

Organization: ___________________________________________

Street, City, Zip: _________________________________________

Country: __________________________________

Workshop Topic:

___ Conflict Resolution

___ Disaster & Crisis Intervention (DCI)

___ NGO Organizational Development

___ Sustainable Community Development

___ Other (please explain)

___ Check here if workshop is intended for internal (organization or agency) staff development.

___ Check here if workshop is intended for open enrollment (for example, through professional organizational development organization such as local ODN, or other local networks for independent facilitators, etc.)

Expected Number of workshop participants: _____

Desired/proposed dates for the Workshop (please indicate alternatives):

1. ________________________________________

2. ________________________________________

3. ________________________________________

Sources of Funding (check all that apply):

___ Workshop Tuition

___ Corporate/foundation grants

___ Organization/agency support

___ Other (please explain):

Questions: ________________________________________________________

Please copy this form and paste into an email.
Send the completed form to sec@globalfacilitators.org