Are you interested in receiving ROMA training from NYSCAA? Fill out the form below, and we will contact you. 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 InstructionsNameThis field is for validation purposes and should be left unchanged.
