Serving Region 9 - Arizona, California, Hawaii, Nevada & the Pacific Basin

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Training Request Form

The Pacific ADA Center coordinates and conducts regional conferences, individual state training workshops, local trainings, and presentations, and seminars on the Americans with Disabilities Act (ADA) and accessible information technology. We can customize our training program to meet the time constraints and needs of your group and organization.

* indicates required information

Your Name, Phone Number, and E-Mail Address

* First Name:

* Last Name:

* Phone Number:

Fax Number:

* Email Address:

Business Information and Address

Name of Organization:

* Street:

* City:

* State:

* Zip Code:

Training Information

Suggested Training Date(s):

Length of Training:

Event Name:

* Training Location:

* How Many Attendees Expected:

* Topics Provided:

Additional Comments:

For internal use only

RECENT TWITTER POSTS

@adapacific - 13h

@adapacific - Jul 18

"VOTE as if your life depends on it—Because it DOES!" - Justin Dart #REVUP #DisabilityVote #ADA https://t.co/6os6Vhvd5j https://t.co/4227eHCdYc

@adapacific - Jul 17

In 2016, over 35 million people with disabilities were eligible to vote, but only 16 million did. Help us make sure our community is registered, educated, and engaged to exercise their civil right to vote! https://t.co/zNXIbvT6if #REVUP #DisabilityVote

@adapacific - Jul 16

@adapacific - Jul 15

ADA National Network Learning Session: Implementing Disability Access in a Healthcare Setting - https://t.co/mwpc4E1xqL https://t.co/4o8WRi4jmE

Training Request Form

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RECENT TWITTER POSTS