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Training & Speaker Request Application

At Life In The Arena Foundation, we recognize that budget constraints often prevent frontline workers, agencies, and organizations from accessing the critical training, education, and speaker engagements they need and deserve. We are committed to supporting those who serve and protect, and while we cannot guarantee funding or fulfillment of every request, we do make every effort to qualify submissions and pursue available support on your behalf.

Please send us your request in an email and make sure to include the following:

SECTION 1: AGENCY / ORGANIZATION INFORMATION

  • Agency/Organization Name:

  • Type of Organization: (Law Enforcement, EMS, Fire, Healthcare, Education, Other)

  • Point of Contact Name:

  • Title/Role:

  • Phone Number:

  • Email Address:

  • Website (if applicable):

  • Mailing Address:

SECTION 2: TRAINING / SPEAKER REQUEST

  • Type of Request:
    ☐ Training
    ☐ Speaker Engagement
    ☐ Both
    ☐ Other
    Describe Other: _______________________________________

  • Topic(s) of Interest or Training Focus:
    (Please be as specific as possible)

  • Requested Presenter (if known):

  • Proposed Date(s) or Timeframe:

  • Proposed Location (City, Venue, or Virtual):

  • Estimated Number of Attendees:

  • Preferred Duration:
    ☐ 1–2 hours
    ☐ Half Day
    ☐ Full Day
    ☐ Multi-Day

SECTION 3: FUNDING & BUDGET

  • Is your agency able to contribute any funding toward this request?
    ☐ Yes
    ☐ No
    ☐ Unsure

If yes, please specify approximate amount or support available:

  • Have you received outside funding for this event?
    ☐ Yes
    ☐ No
    If yes, please describe:

  • Briefly describe why funding assistance is needed:
    (Include relevant background such as budget limitations, priority needs, underserved populations, etc.)

SECTION 4: IMPACT STATEMENT

  • How will this training or speaker benefit your agency or community?
    (Please include any specific issues or incidents that prompted this request.)

  • Have you previously received training or speakers through Life In The Arena Foundation?
    ☐ Yes
    ☐ No
    If yes, when and for what topic?

 

PLEASE NOTE:

As you submit your request, please understand that that submission of this application does not guarantee approval or funding. Also, please understand that by submitting, you agree to be contacted by Life In The Arena Foundation for further discussion or clarification. If funding is secured, we will ask that you agree to provide photos, testimonials, or feedback as requested for grant reporting and promotional purposes.

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© 2011 The Life In The Arena Foundation

 

EIN 82-4611545    D-U-N-S number: 115095640

EZ2230

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