Tri-Ethnic Center for Prevention Research
Sage Hall
Colorado State University
Fort Collins, CO 80523-1879
1-800-835-8091
Community Readiness One-Day Training Registration
Please send completed form to Linda Stanley at the address above, fax to 970-491-0527, or email
form to Linda.Stanley@colostate.edu.
Date of training you would like to attend: ___________________________________________
Name: _______________________________________ Title: ___________________________
Organization:___________________________________________________________________
Phone:________________________ Email Address: __________________________________
Address: ______________________________________________________________________
City: ___________________________________ State:__________ Zip code: _____________
In order to address your specific needs, please let us know the issue(s) you are working on and/or
how you plan to use the Community Readiness Model:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
The training will be held in the conference room at Sage Hall on the campus of Colorado State
University, Fort Collins, Colorado. The training will be from 9 a.m. to 4 p.m. with lunch
included. The fee is $195 per person, which includes materials and refreshments. A nonrefundable deposit of $100 is due one week prior to the training. Please contact us if you would
like an invoice sent to you.
For directions to Sage Hall, go to http://www.triethniccenter.colostate.edu/contact.htm. For
further information, please call 1-800-835-8091 or 970-491-1765.
Thank you for registering. We look forward to meeting you!