Course Interest Form

If you are interested in taking the Passport to Partner Services courses, please fill out and submit the Information below. Your information will be sent to the Prevention Training Center in your area. They will contact you within 2 business days to discuss training options.

Supervisors with more than one employee need only fill out the supervisor contact information and the Optional Supervisor Information section and we will obtain the remainder of the information by phone.

* Required fields

Participant Information

Supervisor Information

Optional Supervisor Information

General Trainee Information

Certain tracks of the Passport to Partner Services course require a 3 or 5 day face-to-face course, after completion of online modules. In many cases people attending the course will need to travel out of state to attend.

Are there travel restrictions that will need to be considered?

What Partner Services knowledge and skills are needed? (Check all that apply)