Training Request Form

Name*

First Last

Email

Enter Email Confirm Email

Phone*

Florida County*

We serve 14 counties in North Central Florida. If your county is not listed, please contact your regional CARD office.

Your Organization*

Please select one or more items that describe your organization. If you choose Other, please enter the type of organization in the box below.

Organization Other

If you selected Other above, please enter the organization type here.

Organization Name*

Please enter the name of your organization.

Topic(s) Requested*

Please check the topic or topics you would like to learn about. If you select Other, please enter the topic in the box below.

Other Topic

Describe the audience and the anticipated learner outcomes.*

Approximate Number of Participants*

Approximate Number of Participants Please indicate how many participants are expected. NOTE: Groups of 5 or larger only. Individuals and groups smaller than 5 people please contact our office directly for options.

Preferred Date(s) for Training*

Please enter a preferred date or range of date options.

Preferred Time(s) & Duration for Training*

Please enter the time of day you would like the training to occur and how long you would like the presentation to last.

Preferred location of training:

Additional Information

Please add any additional information or request details.

University of Florida

Center for Autism and Related Disabilities

University of Florida

Training Request Form

UF CARD Training Request Form