{"id":3129,"date":"2022-05-02T17:12:27","date_gmt":"2022-05-03T00:12:27","guid":{"rendered":"https:\/\/snohomishoverdoseprevention.com\/?page_id=3129"},"modified":"2026-06-24T12:33:27","modified_gmt":"2026-06-24T19:33:27","slug":"narcan-training-requests-for-organizations","status":"publish","type":"page","link":"https:\/\/snohomishoverdoseprevention.com\/ar\/narcan-training-requests-for-organizations\/","title":{"rendered":"\u0637\u0644\u0628\u0627\u062a \u062a\u062f\u0631\u064a\u0628 \u0646\u0627\u0631\u0643\u0627\u0646 \u0644\u0644\u0645\u0646\u0638\u0645\u0627\u062a"},"content":{"rendered":"\n\n\t<p>If your organization would like Narcan training please fill out this form and <strong>click submit only once<\/strong>. This will not redirect you to a confirmation page but the form will be sent to an employee on the opioids team from Snohomish County Health Department who will contact you to schedule your training.<\/p>\n<p>Through this training, your organization will gain an understanding of how opioids impact our community, what you can do to help prevent opioid use disorder, and how to respond to an opioid overdose.<\/p>\n    <style id=\"wpforms-css-vars-3118\">\n\t\t\t\t#wpforms-3118 {\n\t\t\t}\n\t\t\t<\/style><form id=\"wpforms-form-3118\" data-formid=\"3118\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/?page_id=3129&#038;fl_builder\" data-token=\"07fccd68b1228bba4015a6b86f5aeb55\" data-token-time=\"1782329607\">Narcan Training Request for Organizations Please fill out this form to request a Narcan training for your organization.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.<fieldset><legend>Name *<\/legend><input type=\"text\" id=\"wpforms-3118-field_7\" name=\"wpforms[fields][7][first]\" aria-errormessage=\"wpforms-3118-field_7-error\" required\/><label for=\"wpforms-3118-field_7\">First<\/label><input type=\"text\" id=\"wpforms-3118-field_7-last\" name=\"wpforms[fields][7][last]\" aria-errormessage=\"wpforms-3118-field_7-last-error\" required\/><label for=\"wpforms-3118-field_7-last\">Last<\/label><\/fieldset><label for=\"wpforms-3118-field_8\">Email *<\/label><input type=\"email\" id=\"wpforms-3118-field_8\" name=\"wpforms[fields][8]\" spellcheck=\"false\" aria-errormessage=\"wpforms-3118-field_8-error\" required\/><label for=\"wpforms-3118-field_3\">Organization name  *<\/label><input type=\"text\" id=\"wpforms-3118-field_3\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-3118-field_3-error\" required\/><label for=\"wpforms-3118-field_4\">What services does your organization provide?  *<\/label><textarea id=\"wpforms-3118-field_4\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-3118-field_4-error\" aria-describedby=\"wpforms-3118-field_4-description\" required><\/textarea>This helps us tailor the training to be more relevant for you and your work.<label for=\"wpforms-3118-field_5\">Estimated number of people in attendance  *<\/label><input type=\"number\" id=\"wpforms-3118-field_5\" name=\"wpforms[fields][5]\" step=\"any\" aria-errormessage=\"wpforms-3118-field_5-error\" required\/><label for=\"wpforms-3118-field_15\">Please describe who will be attending the training. (Ex. organizational leadership, volunteers, outreach staff, parents, students, etc.) *<\/label><textarea id=\"wpforms-3118-field_15\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-3118-field_15-error\" required><\/textarea><label for=\"wpforms-3118-field_14\">Dates and times your organization is available  *<\/label><textarea id=\"wpforms-3118-field_14\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-3118-field_14-error\" aria-describedby=\"wpforms-3118-field_14-description\" required><\/textarea>We ask that all training requests are made 1 month in advance. The training typically lasts about 1 hour. <fieldset><legend>Training format *<\/legend><ul id=\"wpforms-3118-field_10\"><li><input type=\"radio\" id=\"wpforms-3118-field_10_1\" name=\"wpforms[fields][10]\" value=\"Virtual\" aria-errormessage=\"wpforms-3118-field_10_1-error\" aria-describedby=\"wpforms-3118-field_10-description\" required\/><label for=\"wpforms-3118-field_10_1\">Virtual<\/label><\/li><li><input type=\"radio\" id=\"wpforms-3118-field_10_2\" name=\"wpforms[fields][10]\" value=\"Hybrid \" aria-errormessage=\"wpforms-3118-field_10_2-error\" aria-describedby=\"wpforms-3118-field_10-description\" required\/><label for=\"wpforms-3118-field_10_2\">Hybrid<\/label><\/li><li><input type=\"radio\" id=\"wpforms-3118-field_10_3\" name=\"wpforms[fields][10]\" value=\"In- Person\" aria-errormessage=\"wpforms-3118-field_10_3-error\" aria-describedby=\"wpforms-3118-field_10-description\" required\/><label for=\"wpforms-3118-field_10_3\">In- Person<\/label><\/li><\/ul>A hybrid format is where the facilitators are virtual and a group of participants are together in-person, sharing one zoom screen.<\/fieldset><label for=\"wpforms-3118-field_16\">If requesting an in-person training, do you have the technology to connect a computer via HDMI to a TV screen or projector for visuals and audio? *<\/label><input type=\"text\" id=\"wpforms-3118-field_16\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-3118-field_16-error\" aria-describedby=\"wpforms-3118-field_16-description\" required\/>If you are not requesting an in-person training, you can enter N\/A<fieldset><legend>We can help provide promotional flyers if needed. Is this something that you are interested in?<\/legend><ul id=\"wpforms-3118-field_24\"><li><input type=\"radio\" id=\"wpforms-3118-field_24_1\" name=\"wpforms[fields][24]\" value=\"Yes\" aria-errormessage=\"wpforms-3118-field_24_1-error\"\/><label for=\"wpforms-3118-field_24_1\">Yes<\/label><\/li><li><input type=\"radio\" id=\"wpforms-3118-field_24_2\" name=\"wpforms[fields][24]\" value=\"No\" aria-errormessage=\"wpforms-3118-field_24_2-error\"\/><label for=\"wpforms-3118-field_24_2\">No<\/label><\/li><\/ul><\/fieldset><fieldset><legend>Address of in-person training <\/legend><input type=\"text\" id=\"wpforms-3118-field_18\" name=\"wpforms[fields][18][address1]\" aria-errormessage=\"wpforms-3118-field_18-error\"\/><label for=\"wpforms-3118-field_18\">Address Line 1<\/label><input type=\"text\" id=\"wpforms-3118-field_18-address2\" name=\"wpforms[fields][18][address2]\" aria-errormessage=\"wpforms-3118-field_18-address2-error\"\/><label for=\"wpforms-3118-field_18-address2\">Address Line 2<\/label><input type=\"text\" id=\"wpforms-3118-field_18-city\" name=\"wpforms[fields][18][city]\" aria-errormessage=\"wpforms-3118-field_18-city-error\"\/><label for=\"wpforms-3118-field_18-city\">City<\/label><select id=\"wpforms-3118-field_18-state\" name=\"wpforms[fields][18][state]\" aria-errormessage=\"wpforms-3118-field_18-state-error\"><option value=\"\" selected disabled>&#8212; Select state &#8212;<\/option><option value=\"AL\">Alabama<\/option><option value=\"AK\">Alaska<\/option><option value=\"AZ\">Arizona<\/option><option value=\"AR\">Arkansas<\/option><option value=\"CA\">California<\/option><option value=\"CO\">Colorado<\/option><option value=\"CT\">Connecticut<\/option><option value=\"DE\">Delaware<\/option><option value=\"DC\">District of Columbia<\/option><option value=\"FL\">Florida<\/option><option value=\"GA\">Georgia<\/option><option value=\"HI\">Hawaii<\/option><option value=\"ID\">Idaho<\/option><option value=\"IL\">Illinois<\/option><option value=\"IN\">Indiana<\/option><option value=\"IA\">Iowa<\/option><option value=\"KS\">Kansas<\/option><option value=\"KY\">Kentucky<\/option><option value=\"LA\">Louisiana<\/option><option value=\"ME\">Maine<\/option><option value=\"MD\">Maryland<\/option><option value=\"MA\">Massachusetts<\/option><option value=\"MI\">Michigan<\/option><option value=\"MN\">Minnesota<\/option><option value=\"MS\">Mississippi<\/option><option value=\"MO\">Missouri<\/option><option value=\"MT\">Montana<\/option><option value=\"NE\">Nebraska<\/option><option value=\"NV\">Nevada<\/option><option value=\"NH\">New Hampshire<\/option><option value=\"NJ\">New Jersey<\/option><option value=\"NM\">New Mexico<\/option><option value=\"NY\">New York<\/option><option value=\"NC\">North Carolina<\/option><option value=\"ND\">North Dakota<\/option><option value=\"OH\">Ohio<\/option><option value=\"OK\">Oklahoma<\/option><option value=\"OR\">Oregon<\/option><option value=\"PA\">Pennsylvania<\/option><option value=\"RI\">Rhode Island<\/option><option value=\"SC\">South Carolina<\/option><option value=\"SD\">South Dakota<\/option><option value=\"TN\">Tennessee<\/option><option value=\"TX\">Texas<\/option><option value=\"UT\">Utah<\/option><option value=\"VT\">Vermont<\/option><option value=\"VA\">Virginia<\/option><option value=\"WA\">Washington<\/option><option value=\"WV\">West Virginia<\/option><option value=\"WI\">Wisconsin<\/option><option value=\"WY\">Wyoming<\/option><\/select><label for=\"wpforms-3118-field_18-state\">State<\/label><input type=\"text\" id=\"wpforms-3118-field_18-postal\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][18][postal]\" aria-errormessage=\"wpforms-3118-field_18-postal-error\"\/><label for=\"wpforms-3118-field_18-postal\">Zip Code<\/label><\/fieldset><label for=\"wpforms-3118-field_17\">Is there any other information we need to know?<\/label><textarea id=\"wpforms-3118-field_17\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-3118-field_17-error\"><\/textarea><label>GDPR Agreement *<\/label><ul id=\"wpforms-3118-field_11\"><li><input type=\"checkbox\" id=\"wpforms-3118-field_11_1\" name=\"wpforms[fields][11][]\" value=\"I consent to having this website store my submitted information so they can respond to my inquiry.\" aria-errormessage=\"wpforms-3118-field_11_1-error\" required\/><label for=\"wpforms-3118-field_11_1\">I consent to having this website store my submitted information so they can respond to my inquiry.<\/label><\/li><\/ul><!-- .wpforms-field-container --><input type=\"hidden\" name=\"wpforms[id]\" value=\"3118\"\/>\t\t\t<input type=\"hidden\"\n\t\t\t\tname=\"wpforms[nonce]\"\n\t\t\t\tvalue=\"c678dcb7ee\"\n\t\t\t\/>\n\t\t\t<input type=\"hidden\" name=\"page_title\" value=\"Narcan Training Requests for Organizations\"\/><input type=\"hidden\" name=\"page_url\" 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