1. Making a Difference:
Mandate to Report, Responsibility to Prevent Child Abuse & Neglect
Training Session Feedback Form
Trainer’s Name:
Trainer’s Organization:
Phone: Email:
Date of training: Number of participants:
Training Location:
Briefly describe the participants (agency staff, community members, educators, child
care staff, faith-based representatives, law enforcement, medical providers, etc.)?
Were there any concerns with the training content and presentation?
Other Comments:
After each training that you provide with this curriculum, please complete this
brief response sheet and send to pcawv@teamwv.com or by mail to Team For West
Virginia Children, P.O. Box 1653, Huntington, WV 25717, or fax to (304) 697-0320.
Thank you for your assistance!