{"id":370,"date":"2020-08-10T16:17:04","date_gmt":"2020-08-10T16:17:04","guid":{"rendered":"https:\/\/www.stsm.org\/?page_id=370"},"modified":"2020-08-10T20:17:19","modified_gmt":"2020-08-10T20:17:19","slug":"request-a-session-or-training","status":"publish","type":"page","link":"https:\/\/arf.stsm.org\/?page_id=370","title":{"rendered":"Request a Program"},"content":{"rendered":"<div style=\"display:none\" class=\"fm-form-container fm-theme1\"><div id=\"fm-pages7\" class=\"fm-pages wdform_page_navigation \" show_title=\"false\" show_numbers=\"false\" type=\"none\"><\/div><form name=\"form7\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F370\" method=\"post\" id=\"form7\" class=\"fm-form form7  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"fm_page_id7\" value=\"370\" name=\"fm_page_id7\" \/><input type=\"hidden\" id=\"fm_current_post_type7\" value=\"page\" name=\"fm_current_post_type7\" \/><input type=\"hidden\" id=\"counter7\" value=\"17\" name=\"counter7\" \/><input type=\"hidden\" id=\"Itemid7\" value=\"\" name=\"Itemid7\" \/><input type=\"hidden\" id=\"fm_shake7\" value=\"1\" name=\"fm_shake7\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation7\" value=\"\" name=\"fm_empty_field_validation7\" data-value=\"bd736efb144d599cf463541431fbf5c4\" \/><div class=\"fm-header-bg\"><div class=\"fm-header \"><div class=\"fm-header-text\">          <div class=\"fm-header-title\">                      <\/div>          <div class=\"fm-header-description\">            Use this form to contact us with any requests for or questions about our prevention education programs. Please provide as much information as possible so we can best meet your needs.\u00a0 For more information about each of our programs, <a href=\"https:\/\/www.stsm.org\/?page_id=175\">click here<\/a>. We look forward to partnering with you!          <\/div>        <\/div><\/div><\/div><div class=\"wdform-page-and-images fm-form-builder\"><div id=\"7form_view1\" class=\"wdform_page\" page_title=\"Contact Information\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\" id=\"cur_column\"><div class=\"wdform_column\"><div wdid=\"2\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_name\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_2_element_first7\" class=\"wdform-label\">Name<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_2_element_first7\" name=\"wdform_2_element_first7\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_2_element_first7\">First<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_2_element_last7\" name=\"wdform_2_element_last7\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_2_element_last7\">Last<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_text\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_3_element7\" class=\"wdform-label\">Organization<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_3_element7\"                           name=\"wdform_3_element7\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"10\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submitter_mail\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_10_element7\" class=\"wdform-label\">Email<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_10_element7\" name=\"wdform_10_element7\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('10', '7', 'This is not a valid email address.')\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"11\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_phone_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_phone_new\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_11_element7\" class=\"wdform-label\">Phone<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><input type=\"text\"                       class=\"wd-width-100\"                       id=\"wdform_11_element7\"                       name=\"wdform_11_element7\"                       value=\"\"                       data-value=\"\"                       placeholder=\"\"  \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"15\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_matrix\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_matrix\" ><div class=\"wdform-label-section wd-width-100 wdform_matrix wd-flex-row\">    <label  class=\"wdform-label\">Request Preferences &amp; Details<\/label><\/div><div class=\"wdform-element-section wd-flex wdform_matrix wd-flex-row wd-width-100\" ><div id=\"wdform_15_element7\" class=\"wd-width-100 wdform-matrix-table\" ><div class=\"wd-table-group\"><div class=\"wdform-matrix-head\"><div class=\"wd-table-cell\"><\/div><div><label class=\"wdform-ch-rad-label\"><\/label><\/div><\/div><div class=\"wdform-matrix-row1\" row=\"1\"><div class=\"wdform-matrix-column\"><label class=\"wdform-ch-rad-label\" >Session Dates(s)<\/label><\/div><div class=\"wdform-matrix-cell\"><input id=\"wdform_15_input_element71_1\" type=\"text\" name=\"wdform_15_input_element71_1\" value=\"\" style=\"width:150px\"><\/div><\/div><div class=\"wdform-matrix-row0\" row=\"2\"><div class=\"wdform-matrix-column\"><label class=\"wdform-ch-rad-label\" >Time of Day<\/label><\/div><div class=\"wdform-matrix-cell\"><input id=\"wdform_15_input_element72_1\" type=\"text\" name=\"wdform_15_input_element72_1\" value=\"\" style=\"width:150px\"><\/div><\/div><div class=\"wdform-matrix-row1\" row=\"3\"><div class=\"wdform-matrix-column\"><label class=\"wdform-ch-rad-label\" >Session Length<\/label><\/div><div class=\"wdform-matrix-cell\"><input id=\"wdform_15_input_element73_1\" type=\"text\" name=\"wdform_15_input_element73_1\" value=\"\" style=\"width:150px\"><\/div><\/div><div class=\"wdform-matrix-row0\" row=\"4\"><div class=\"wdform-matrix-column\"><label class=\"wdform-ch-rad-label\" >Location<\/label><\/div><div class=\"wdform-matrix-cell\"><input id=\"wdform_15_input_element74_1\" type=\"text\" name=\"wdform_15_input_element74_1\" value=\"\" style=\"width:150px\"><\/div><\/div><div class=\"wdform-matrix-row1\" row=\"5\"><div class=\"wdform-matrix-column\"><label class=\"wdform-ch-rad-label\" >Number of Attendees<\/label><\/div><div class=\"wdform-matrix-cell\"><input id=\"wdform_15_input_element75_1\" type=\"text\" name=\"wdform_15_input_element75_1\" value=\"\" style=\"width:150px\"><\/div><\/div><div class=\"wdform-matrix-row0\" row=\"6\"><div class=\"wdform-matrix-column\"><label class=\"wdform-ch-rad-label\" >Age Range of Attendees<\/label><\/div><div class=\"wdform-matrix-cell\"><input id=\"wdform_15_input_element76_1\" type=\"text\" name=\"wdform_15_input_element76_1\" value=\"\" style=\"width:150px\"><\/div><\/div><\/div><input type=\"hidden\" name=\"wdform_15_element7\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"14\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_own_select\" ><div class=\"wdform-label-section wd-width-100 wdform_select wd-flex-row\">    <label  for=\"wdform_14_element7\" class=\"wdform-label\">If requesting existing sessions\/programs, please choose from the following:<\/label><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-100\" ><select class=\"wd-width-100\" id=\"wdform_14_element7\" name=\"wdform_14_element7\" ><option value=\"\" selected=\"selected\">Select<\/option><option value=\"\" ><\/option><option value=\"\" >Single Session Programs<\/option><option value=\"\u2022Sexual Assault 101\" >\u2022Sexual Assault 101<\/option><option value=\"\u2022Mandatory Reporting\" >\u2022Mandatory Reporting<\/option><option value=\"\u2022Analysis and Impact of Rape Culture\" >\u2022Analysis and Impact of Rape Culture<\/option><option value=\"\u2022Understanding the Connection Between Pornography and Sexual Violence\" >\u2022Understanding the Connection Between Pornography and Sexual Violence<\/option><option value=\"\u2022Human Trafficking and Commercial Sexual Exploitation\" >\u2022Human Trafficking and Commercial Sexual Exploitation<\/option><option value=\"\u2022An Overview of the Comprehensive Health Education Act and Erin\u2019s Law\" >\u2022An Overview of the Comprehensive Health Education Act and Erin\u2019s Law<\/option><option value=\"\u2022Darkness to Light\u2019s Stewards of Children\u00a9 (fee-based)\" >\u2022Darkness to Light\u2019s Stewards of Children\u00a9 (fee-based)<\/option><option value=\"\" ><\/option><option value=\"\" >Multisession Programs<\/option><option value=\"\u2022Building Healthy Communities \u00a9\" >\u2022Building Healthy Communities \u00a9<\/option><option value=\"\" ><\/option><option value=\"\" >Facilitator Trainings<\/option><option value=\"\u2022Building Healthy Communities \u00a9 Facilitator Training\" >\u2022Building Healthy Communities \u00a9 Facilitator Training<\/option><option value=\"\u2022Building Healthy Communities \u00a9 Training of the Trainer\" >\u2022Building Healthy Communities \u00a9 Training of the Trainer<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"16\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_textarea\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_16_element7\" class=\"wdform-label\">What are your desired goals and outcomes for the requested program?   What else do we need to know when considering your request?<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" ><textarea class=\"wd-width-100\"                      id=\"wdform_16_element7\"                      name=\"wdform_16_element7\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 100px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"1\" class=\"wdform_row\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submit_reset\" ><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('7');\"  data-ajax=\"0\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Submit<\/button><button  type=\"button\" class=\"button-reset wd-hidden\" onclick=\"fm_reset_form(7);\" >Reset<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"7page_nav1\" class=\"wd-table-row\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><input type=\"hidden\" name=\"fm-current-page\" value=\"https:\/\/arf.stsm.org\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F370\" \/><\/form><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":248,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-370","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/arf.stsm.org\/index.php?rest_route=\/wp\/v2\/pages\/370","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/arf.stsm.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/arf.stsm.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/arf.stsm.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/arf.stsm.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=370"}],"version-history":[{"count":4,"href":"https:\/\/arf.stsm.org\/index.php?rest_route=\/wp\/v2\/pages\/370\/revisions"}],"predecessor-version":[{"id":395,"href":"https:\/\/arf.stsm.org\/index.php?rest_route=\/wp\/v2\/pages\/370\/revisions\/395"}],"up":[{"embeddable":true,"href":"https:\/\/arf.stsm.org\/index.php?rest_route=\/wp\/v2\/pages\/248"}],"wp:attachment":[{"href":"https:\/\/arf.stsm.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=370"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}