Are you interested in receiving ROMA training from NYSCAA? Fill out the form below, and we will contact you. LinkedInThis field is for validation purposes and should be left unchanged.Name of Individual Requesting Training* First Last Agency*Agency Address* Street Address City Phone*Email* Today's Date* MM slash DD slash YYYY About the TrainingDesired Topic for Training*If this is a request for a ROMA training, when was the last time your agency staff attended a ROMA Training?Preferred Date(s) of Training*Expected Audience*Please select the expected members of the audience. You can select more than one option. Board members Front line/direct service staff Executive level staff Program Managers Members of the PublicExpected Number of Participants*Expected Duration*What are the objectives for the training?*What outcomes do you want to achieve as a result of the training?*Special Requests or Instructions