Agency Request for Proposal

The EMDR Education and Training Center can provide Basic Training in EMDR Therapy at your location and on dates that work for your organization.

Please complete the following Request for Proposal, and we will contact you within 3 business days to discuss your needs in greater detail.

"*" indicates required fields

Agency Name*

Director Name*

Agency Point of Contact*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Proposed training location (if different from agency address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone Number(s)*

Email*

How many in house participants will be attending the training (One trainer required for every 10 participants)*

Preferred days for four, 2-day sessions from 8:30am- 5:30pm*

Saturday and Sunday

Friday and Saturday

Other

Preferred start dates*

Does the facility have the following (check all that apply)

A training room to accommodate the maximum number of participants.

Adjacent or smaller rooms for break out sessions with extra chairs.

A projection screen.

Any additional relevant information

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