As a tribal coalition, CSVANW does not provide emergency or direct services.  If you are in an unsafe situation or need immediate assistance please dial 911.

Request Forms

Requests MUST BE submitted TWO WEEKS in advance BEFORE the scheduled event date. This will allow us enough time to prepare for your request. To fulfill your request, please thoroughly explain how CSVANW may support your request. We will contact you within 3-5 business days of receiving your request.

Some of the questions on the form might not be applicable to your request, so please select N/A (Not Applicable) if it does not apply to you.

Please note, CSVANW service area for Technical Assistance includes: New Mexico, the Navajo Nation (northeastern Arizona), and Ysleta del Sur Pueblo in El Paso, Tx, requests received outside our service area must have a virtual option or travel and lodging compensation, if we are unable to support the request will result in a referral.

Request For:(Required)

Your Name(Required)
Email(Required)
MM slash DD slash YYYY
Requested Time
:
Will your organization be providing the event webinar link?(Required)
If not, we can provide a Zoom link. If it is going to be an in-person event, please provide the info needed in the next question
If your event is in person, please provide the address
Please tell us what your event is about, and will you provide a table and 2 chairs? If this question does not apply to you type N/A and move on to the next question.
Core Topics(Required)
Check one or more
Please explain clearly what you are requesting. (Who is the target audience, how will you like CSVANW to deliver what you are requesting). If the topic is not in the checklist above, explain how CSVANW might support.
Accepted file types: pdf, jpg, png, jpeg, Max. file size: 16 MB.

ESCAPE