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Gay and Grey Training Request
Please complete the following form to request a training addressing the issues and challenges facing LGBT (lesbian, gay, bisexual and transgender) older adults. Our Program Coordinator will respond to each request within a few days. If you have more questions contact Lauren Fontanarosa at (503)224-2640 or LFontanarosa@friendlyhouseinc.org
Contact Person: Name
*
First
Last
Email
*
Phone
*
###
-
###
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Name of organization
*
Type of organization
College/School
Social Service Agency
Long-term Care or Housing Provider
LGBT Organization
Other
Requested date of training
Other date options
Requested time of training
Please specify the time you would like the training or part of day (i.e. morning or afternoon). If the time if flexible, write in "flexible."
Approximate number of attendees
Location of training
(include street address)
Has your organization ever had a training on these topics before?
Yes
No
Tell us a bit about the people who will be attending the training, what specific topics you would like covered, and the background knowledge of attendees on LGBT topics
*
Fee your agency is able to pay for the training
$
Dollars
.
Cents
Training Fee based on your organization budget
Budget: 0 - $199,999
Fee: $100
Budget: $200,000 - $399,999
Fee: $250
Budget: $400,000 and up
Fee: $300
*For educational institutions we have a sliding fee scale from $50- $150
Friendly House is able to offer partial scholarships in some circumstances. If your organization is not able to pay the above fees, please let us know what you are able to contribute towards the cost of training and we will discuss scholarship options.
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