{"id":1696,"date":"2022-06-21T11:29:46","date_gmt":"2022-06-21T11:29:46","guid":{"rendered":"http:\/\/breakthecycle.org\/training-request-form\/"},"modified":"2023-12-15T18:07:56","modified_gmt":"2023-12-15T18:07:56","slug":"training-request-form","status":"publish","type":"page","link":"https:\/\/www.breakthecycle.org\/training-request-form\/","title":{"rendered":"Training Request Form"},"content":{"rendered":"<div class=\"content\">\n<div id=\"content\" class=\"column\" role=\"main\">\n                        <a id=\"main-content\"><\/a><\/p>\n<h1 class=\"page__title title\" id=\"page-title\">\n<div data-quickedit-field-id=\"node\/3061\/title\/und\/full\">Training Request Form<\/div>\n<\/h1>\n<div data-quickedit-entity-id=\"node\/3061\" about=\"\/training-request-form\" typeof=\"sioc:Item foaf:Document\" class=\"ds-1col node node-webform view-mode-full clearfix\">\n<div class=\"\">\n<form class=\"webform-client-form\" enctype=\"multipart\/form-data\" action=\"\/training-request-form\/\" method=\"post\" id=\"webform-client-form-3061\" accept-charset=\"UTF-8\">\n<div>\n<div class=\"form-item webform-component webform-component-date\" id=\"webform-component-request-date\">\n  <label for=\"edit-submitted-request-date\">Request Date: <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><\/p>\n<div class=\"webform-container-inline webform-datepicker\">\n<div class=\"form-item form-type-select form-item-submitted-request-date-year\">\n  <label class=\"element-invisible\" for=\"edit-submitted-request-date-year\">Year <\/label><br \/>\n <select class=\"year form-select\" id=\"edit-submitted-request-date-year\" name=\"submitted[request_date][year]\"><option value=\"\" selected=\"selected\">Year<\/option><option value=\"2018\">2018<\/option><option value=\"2019\">2019<\/option><option value=\"2020\">2020<\/option><option value=\"2021\">2021<\/option><option value=\"2022\">2022<\/option><\/select>\n<\/div>\n<div class=\"form-item form-type-select form-item-submitted-request-date-month\">\n  <label class=\"element-invisible\" for=\"edit-submitted-request-date-month\">Month <\/label><br \/>\n <select class=\"month form-select\" id=\"edit-submitted-request-date-month\" name=\"submitted[request_date][month]\"><option value=\"\" selected=\"selected\">Month<\/option><option value=\"1\">Jan<\/option><option value=\"2\">Feb<\/option><option value=\"3\">Mar<\/option><option value=\"4\">Apr<\/option><option value=\"5\">May<\/option><option value=\"6\">Jun<\/option><option value=\"7\">Jul<\/option><option value=\"8\">Aug<\/option><option value=\"9\">Sep<\/option><option value=\"10\">Oct<\/option><option value=\"11\">Nov<\/option><option value=\"12\">Dec<\/option><\/select>\n<\/div>\n<div class=\"form-item form-type-select form-item-submitted-request-date-day\">\n  <label class=\"element-invisible\" for=\"edit-submitted-request-date-day\">Day <\/label><br \/>\n <select class=\"day form-select\" id=\"edit-submitted-request-date-day\" name=\"submitted[request_date][day]\"><option value=\"\" selected=\"selected\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select>\n<\/div>\n<p><input type=\"image\" class=\"webform-calendar webform-calendar-start-2018-01-31 webform-calendar-end-2022-01-31 webform-calendar-day-1\" alt=\"Open popup calendar\" title=\"Open popup calendar\"\/>\n<\/div>\n<\/div>\n<div class=\"form-item webform-component webform-component-textfield\" id=\"webform-component-who\">\n  <label for=\"edit-submitted-who\">Who: <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><br \/>\n <input type=\"text\" id=\"edit-submitted-who\" name=\"submitted[who]\" value=\"\" size=\"60\" maxlength=\"128\" class=\"form-text required\"\/>\n<\/div>\n<div class=\"form-item webform-component webform-component-email\" id=\"webform-component-email\">\n  <label for=\"edit-submitted-email\">Email: <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><br \/>\n <input class=\"email form-text form-email required\" type=\"email\" id=\"edit-submitted-email\" name=\"submitted[email]\" size=\"60\"\/>\n<\/div>\n<div class=\"form-item webform-component webform-component-textfield\" id=\"webform-component-phone\">\n  <label for=\"edit-submitted-phone\">Phone: <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><br \/>\n <input type=\"text\" id=\"edit-submitted-phone\" name=\"submitted[phone]\" value=\"\" size=\"60\" maxlength=\"128\" class=\"form-text required\"\/>\n<\/div>\n<div class=\"form-item webform-component webform-component-textfield\" id=\"webform-component-training-topics\">\n  <label for=\"edit-submitted-training-topics\">Training Topic(s): <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><br \/>\n <input type=\"text\" id=\"edit-submitted-training-topics\" name=\"submitted[training_topics]\" value=\"\" size=\"60\" maxlength=\"128\" class=\"form-text required\"\/>\n<\/div>\n<div class=\"form-item webform-component webform-component-textarea\" id=\"webform-component-preliminary-learning-objectives-these-can-be-adjusted\">\n  <label for=\"edit-submitted-preliminary-learning-objectives-these-can-be-adjusted\">Preliminary Learning Objectives (these can be adjusted): <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><\/p>\n<div class=\"form-textarea-wrapper resizable\"><textarea id=\"edit-submitted-preliminary-learning-objectives-these-can-be-adjusted\" name=\"submitted[preliminary_learning_objectives_these_can_be_adjusted]\" cols=\"60\" rows=\"5\" class=\"form-textarea required\">By the end of Break the Cycle\u2019s Training, we would like participants to be able to\u2026<\/textarea><\/div>\n<\/div>\n<div class=\"form-item webform-component webform-component-date\" id=\"webform-component-event-date--time\">\n  <label for=\"edit-submitted-event-date-time\">Event Date &#038; Time: <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><\/p>\n<div class=\"webform-container-inline webform-datepicker\">\n<div class=\"form-item form-type-select form-item-submitted-event-date--time-year\">\n  <label class=\"element-invisible\" for=\"edit-submitted-event-date-time-year\">Year <\/label><br \/>\n <select class=\"year form-select\" id=\"edit-submitted-event-date-time-year\" name=\"submitted[event_date__time][year]\"><option value=\"\" selected=\"selected\">Year<\/option><option value=\"2018\">2018<\/option><option value=\"2019\">2019<\/option><option value=\"2020\">2020<\/option><option value=\"2021\">2021<\/option><option value=\"2022\">2022<\/option><\/select>\n<\/div>\n<div class=\"form-item form-type-select form-item-submitted-event-date--time-month\">\n  <label class=\"element-invisible\" for=\"edit-submitted-event-date-time-month\">Month <\/label><br \/>\n <select class=\"month form-select\" id=\"edit-submitted-event-date-time-month\" name=\"submitted[event_date__time][month]\"><option value=\"\" selected=\"selected\">Month<\/option><option value=\"1\">Jan<\/option><option value=\"2\">Feb<\/option><option value=\"3\">Mar<\/option><option value=\"4\">Apr<\/option><option value=\"5\">May<\/option><option value=\"6\">Jun<\/option><option value=\"7\">Jul<\/option><option value=\"8\">Aug<\/option><option value=\"9\">Sep<\/option><option value=\"10\">Oct<\/option><option value=\"11\">Nov<\/option><option value=\"12\">Dec<\/option><\/select>\n<\/div>\n<div class=\"form-item form-type-select form-item-submitted-event-date--time-day\">\n  <label class=\"element-invisible\" for=\"edit-submitted-event-date-time-day\">Day <\/label><br \/>\n <select class=\"day form-select\" id=\"edit-submitted-event-date-time-day\" name=\"submitted[event_date__time][day]\"><option value=\"\" selected=\"selected\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select>\n<\/div>\n<p><input type=\"image\" class=\"webform-calendar webform-calendar-start-2018-01-31 webform-calendar-end-2022-01-31 webform-calendar-day-1\" alt=\"Open popup calendar\" title=\"Open popup calendar\"\/>\n<\/div>\n<\/div>\n<div class=\"form-item webform-component webform-component-textfield\" id=\"webform-component-length-of-training\">\n  <label for=\"edit-submitted-length-of-training\">Length of Training: <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><br \/>\n <input type=\"text\" id=\"edit-submitted-length-of-training\" name=\"submitted[length_of_training]\" value=\"\" size=\"60\" maxlength=\"128\" class=\"form-text required\"\/>\n<\/div>\n<div class=\"form-item webform-component webform-component-textfield\" id=\"webform-component-event-location\">\n  <label for=\"edit-submitted-event-location\">Event Location: <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><br \/>\n <input type=\"text\" id=\"edit-submitted-event-location\" name=\"submitted[event_location]\" value=\"\" size=\"60\" maxlength=\"128\" class=\"form-text required\"\/>\n<\/div>\n<div class=\"form-item webform-component webform-component-checkboxes\" id=\"webform-component-will-the-following-be-available-check-all-that-apply-2\">\n  <label for=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2\">Will the following be available? (Check all that apply) <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><\/p>\n<div id=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2\" class=\"form-checkboxes\">\n<div class=\"form-item form-type-checkbox form-item-submitted-will-the-following-be-available-check-all-that-apply-2-Internet-wifi\">\n <input type=\"checkbox\" id=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-1\" name=\"submitted[will_the_following_be_available_check_all_that_apply_2][Internet_wifi]\" value=\"Internet_wifi\" class=\"form-checkbox\"\/>  <label class=\"option\" for=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-1\">Internet\/WiFi <\/label>\n<\/div>\n<div class=\"form-item form-type-checkbox form-item-submitted-will-the-following-be-available-check-all-that-apply-2-laptop\">\n <input type=\"checkbox\" id=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-2\" name=\"submitted[will_the_following_be_available_check_all_that_apply_2][laptop]\" value=\"laptop\" class=\"form-checkbox\"\/>  <label class=\"option\" for=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-2\">laptop <\/label>\n<\/div>\n<div class=\"form-item form-type-checkbox form-item-submitted-will-the-following-be-available-check-all-that-apply-2-projector-screen\">\n <input type=\"checkbox\" id=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-3\" name=\"submitted[will_the_following_be_available_check_all_that_apply_2][projector_screen]\" value=\"projector_screen\" class=\"form-checkbox\"\/>  <label class=\"option\" for=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-3\">projector &#038; screen <\/label>\n<\/div>\n<div class=\"form-item form-type-checkbox form-item-submitted-will-the-following-be-available-check-all-that-apply-2-av-microphones\">\n <input type=\"checkbox\" id=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-4\" name=\"submitted[will_the_following_be_available_check_all_that_apply_2][av_microphones]\" value=\"av_microphones\" class=\"form-checkbox\"\/>  <label class=\"option\" for=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-4\">AV, Microphones <\/label>\n<\/div>\n<div class=\"form-item form-type-checkbox form-item-submitted-will-the-following-be-available-check-all-that-apply-2-flip-chart-od-white-board-and-markers\">\n <input type=\"checkbox\" id=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-5\" name=\"submitted[will_the_following_be_available_check_all_that_apply_2][flip_chart_od_white_board_and_markers]\" value=\"flip_chart_od_white_board_and_markers\" class=\"form-checkbox\"\/>  <label class=\"option\" for=\"edit-submitted-will-the-following-be-available-check-all-that-apply-2-5\">flip chart or white board and markers <\/label>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"form-item webform-component webform-component-textarea\" id=\"webform-component-number-of-participants--their-roles\">\n  <label for=\"edit-submitted-number-of-participants-their-roles\">Number of Participants &#038; Their Roles: <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><\/p>\n<div class=\"form-textarea-wrapper resizable\"><textarea id=\"edit-submitted-number-of-participants-their-roles\" name=\"submitted[number_of_participants__their_roles]\" cols=\"60\" rows=\"5\" class=\"form-textarea required\"><\/textarea><\/div>\n<\/div>\n<div class=\"form-item webform-component webform-component-textfield\" id=\"webform-component-agencys-budget\">\n  <label for=\"edit-submitted-agencys-budget\">Agency\u2019s Budget for this Training:  <span class=\"form-required\" title=\"This field is required.\">*<\/span><\/label><br \/>\n <input type=\"text\" id=\"edit-submitted-agencys-budget\" name=\"submitted[agencys_budget]\" value=\"\" size=\"60\" maxlength=\"128\" class=\"form-text required\"\/>\n<\/div>\n<p><input type=\"hidden\" name=\"details[sid]\"\/><br \/>\n<input type=\"hidden\" name=\"details[page_num]\" value=\"1\"\/><br \/>\n<input type=\"hidden\" name=\"details[page_count]\" value=\"1\"\/><br \/>\n<input type=\"hidden\" name=\"details[finished]\" value=\"0\"\/><br \/>\n<input type=\"hidden\" name=\"form_build_id\" value=\"form-Rfta-x4y5nLCf1oU3RLzCWh1qYRfRpUm8vXIR9HFOG0\"\/><br \/>\n<input type=\"hidden\" name=\"form_id\" value=\"webform_client_form_3061\"\/><\/p>\n<div class=\"form-actions form-wrapper\" id=\"edit-actions\"><input type=\"submit\" id=\"edit-submit\" name=\"op\" value=\"Submit\" class=\"form-submit\"\/><\/div>\n<\/div>\n<\/form><\/div>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Training Request Form Request Date: * Year Year20182019202020212022 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Who: * Email: &#8230; <a title=\"Training Request Form\" class=\"read-more\" href=\"https:\/\/www.breakthecycle.org\/training-request-form\/\" aria-label=\"More on Training Request Form\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.breakthecycle.org\/wp-json\/wp\/v2\/pages\/1696"}],"collection":[{"href":"https:\/\/www.breakthecycle.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.breakthecycle.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.breakthecycle.org\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.breakthecycle.org\/wp-json\/wp\/v2\/comments?post=1696"}],"version-history":[{"count":1,"href":"https:\/\/www.breakthecycle.org\/wp-json\/wp\/v2\/pages\/1696\/revisions"}],"predecessor-version":[{"id":4053,"href":"https:\/\/www.breakthecycle.org\/wp-json\/wp\/v2\/pages\/1696\/revisions\/4053"}],"wp:attachment":[{"href":"https:\/\/www.breakthecycle.org\/wp-json\/wp\/v2\/media?parent=1696"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}