Request Training or Technical Assistance (BACKUP)

TA Request Form

The purpose of training and technical assistance (TTA) is to build CCC system capacity. In order to achieve this goal, a broad array of consultation or coaching, training, sponsorship, or other development services may be available to colleges.

First Name*
Last Name*
Title*
Organization*
Address Line 1*
Address Line 2
City*
Zip Code*
Phone*
Email*
1. What kind of assistance are you requesting (check all that apply):
- Customized Training or Technical Assistance
- Logistical support for planning your own meeting or event
- Each Mind Matters or Crisis Text Line Materials
- Product development
- Training, workshop series (e.g., LGBTQ, Trauma Informed Care, SBIRT, HIPAA/FERPA)
- Travel support to present at/attend a training event or conference
- Other
2. Please describe your request for assistance and include topic(s) of focus:*
3. If you have a proposed timeline for the requested assistance, please describe:
4. Please identify the geographic area(s) for marketing the event or service.
- Campus
- District
- Regional
- Statewide
- County/Local
5. Does your organization have resources to pay for or share the cost of the technical assistance or training services?*
- Yes
- No
If yes, please describe:
6. Please provide any other information that would be useful for us to know regarding your request for assistance and/or training services:*

Visit the Crisis Text Line website

These resources are not intended to take the place of emergency care or professional care by a clinical provider such as a doctor, nurse practitioner, or physician’s assistant.

If you or someone you know is experiencing an immediate crisis, please seek help by contacting Crisis Text Line (text COURAGE to 741741), the National Suicide Prevention Lifeline (dial 1-800-273-8255), or emergency services (dial 911).

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CCC Health & Wellness is a project of the California Community Colleges Chancellor’s Office (CCCCO).