TTAC Training and Technical Assistance Request

Please complete the following request form to help us better understand your training and/or technical assistance needs.

Contact Information

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* Name:
* Organization:
* E-mail:
* Phone:
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   Address2:
   City:
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Training
 
TTAC will work with you to establish an appropriate training plan. Click to view descriptions of TTAC's training opportunities.
 
Please indicate the training(s) of interest:
 








  Technical Assistance
 
TTAC staff and consultants can provide on-site, telephone, and online assistance in an array of areas.

If your need does not fit any of the trainings listed at left, identify the area(s) of assistance needed from TTAC:









 
What, specifically, do you want to accomplish from the technical assistance?

Don't worry if you cannot completely identify all your needs - TTAC can help you define them, but do give us as much description as you can.
 
 
Supplemental Information  
This information can assist TTAC staff in coordinating a response to your request for training or technical assistance.
What is your timeline for this assistance?
How many years has your program been in operation?
Will a coalition be involved?      
With whom have you discussed your need for training/technical assistance? (e.g., funding agency, CDC project officer, supervisor, etc.)
 
Code Verification:

 
 
Once you submit your request, TTAC staff will respond within 2 - 3 business days to discuss your request in more detail and determine the best way to meet your need(s).


Last updated 1/18/13