NV365® Intake Form

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Thank you for your interest in Nonviolence365® Training.

We appreciate your commitment to fostering environments grounded in dignity, principled leadership, and the transformative power of nonviolence. Please complete the form below so we can understand your goals and tailor the NV365® experience with excellence.

Nonviolence365® Training Intake Form

"*" indicates required fields

Email

This field is for validation purposes and should be left unchanged.

1. Contact Information

Name*

Organization

Email*

Phone*

Title/Role

Website

2. Training Interest

Are you seeking NV365® training for yourself, a team, an organization, or a community group?*

What inspired your interest in Nonviolence365® at this time?*

What outcomes do you hope this training will achieve?*

3. Audience Information

Who will participate in the training?*

(leaders, staff, executives, youth, community members, etc.)

Estimated number of participants?*

Are there any group dynamics, sensitivities, or considerations we should be aware of?*

4. Race & Ethnicity Demographics

Please provide the approximate percentage breakdown of your participant group (total should equal 100%). This information helps us understand the cultural landscape of the audience.

African American / Black (%)

White (%)

Hispanic / Latino (%)

Asian (%)

Native American / Indigenos (%)

Middle Eastern / North African (%)

Pacific Islander (%)

Multiracial (%)

Other (%)

5. Training Scope & Focus

What areas of Nonviolence365® are most important to you?*

Conflict transformation

Cultural competency

Leadership development

Emotional intelligence

De-escalation skills

Team or community alignment

Personal growth & self-awareness

Organizational culture strengthening

Other

Other - What areas of Nonviolence365® are most important to you?

6. Logistics & Scheduling

Preferred dates or timeframe for training

Preferred delivery format*

In-person

Virtual

Hybrid

Training location (if in-person)

7. Budget & Investment Parameters

(This helps us determine the appropriate training scale, facilitation team, and customization level.)

Do you have a defined budget range for this training?*

Yes

No

If yes, please indicate the approximate range*

Under $5,000

$5,000–$10,000

$10,000–$20,000

$20,000–$50,000

$50,000+

Is your budget flexible based on scope and outcomes?*

Yes

No

Are you requesting a proposal for internal approval, or are you already approved to proceed?*

Yes

No

8. Organizational Context (if applicable)

What current challenges, transitions, or opportunities are shaping your need for NV365®?

How do you envision Nonviolence365® strengthening your culture, systems, or leadership?

Are there any recent organizational events we should be aware of that may impact training?

9. Additional Information

Anything else you would like us to know?

How did you hear about Nonviolence365®?

Δ

Contact Info

449 Auburn Avenue, NE
Atlanta, Georgia 30312
contact@thekingcenter.org
404.526.8900

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