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Enhance Early Engagement (E3) Training Application

DUE: February 3, 2023

Thank you for your interest in this training opportunity. Before completing this application, please review the E3 Project Info Guide that outlines the training to ensure your center will be able to participate in all required aspects of the training. For applications to be considered, all fields must be completed.

If you have any questions about the training, please contact NCA's Director of Mental Health Programs, Michelle Miller, at mmiller@nca-online.org.

Please complete all of the information below.

CAC Name:

Site/Executive Director Name:

Street Address:

City:

State:

Zip:

Office Phone:

Director Email:

Participating teams will each include a Senior Leader. A “Senior Leader” is defined as individuals having administrative responsibility within their Children’s Advocacy Center with the authority to make systematic changes (policies, procedures, budgeting) to support the implementation of the E3 Training in their organization and/or across the community.

Senior Leader Responsible for the E3 Training Project

If different from the person above, complete the following information. If left blank, the Site/Executive Director will be the contact.

Name:

Title:

Phone:

Email:

What case management system does your CAC use? This information will help us to design technical assistance instructions for data entry tasks in the project.

Is your case management system an Electronic System (e.g. NCATrak, Collaborate, etc.) or a Manual System (e.g. Excel spreadsheet, etc.)?

Electronic System
Manual System

Describe information tracked in the case management system: