This would be the CAC you are affiliated with or the organization that oversees your MDT or developing CAC/MDT model.
Please list your name and your title or position with the organization.
This should be the address of the organization in the city where the training will be held. If you to not have the space at your organization to host the training, we will try to locate space in your city for the training.
Estimate the total number of individuals who would attend the training. This could be CAC/MDT members or community members in areas developing a CAC/MDT model.
Select the month that you would prefer to have the training in your community. We will work with you to hold the training as close to your preferred dates as possible.