CSE Training Report

Thank you for taking the time to provide information on your CSE program. Your information helps us demonstrate the value of the CSE tool.

Please enter the name of the organization(s) or union(s) that sponsored the event.

Please provide the name of the contact person for the organization / union.

Please provide the event name / title.

Please choose the 2 letter state abbreviation

Please indicate the date of the event. DO NOT REPORT FUTURE EVENTS.

Please provide the name(s) of the trainer(s).

Please select the module that was presented.

Please enter a specific number, not a range. If you are unsure, use the median number.

Please provide the campaign used

Please provide a brief explanation of what participants were asked to commit to for the campaing (i.e., talk to 5 members, phone bank for 2 hours, recruit 10 people to call their legislators).

Select from the drop down menu the type of setting for the training.

Please enter the name of the person making the report.

Please provide feedback on the program and any other comments you would like to share.

Please attach any documents you would like to share (e.g. photos, participant lists, etc.)

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