Training & Technical Assistance Request Form

Not sure what your training needs are?  Click on the training needs assessment link below to help you in identifying any gaps specific to your organization.

If you have any concerns or questions about this needs assessment, please contact Hannah Rose at Hrose@facesandvoicesofrecovery.org.

Click below to download a PDF of the Training & Technical Assistance Request Form.


SECTION ONE: REQUESTING ORGANIZATION INFORMATION
/
/
SECTION TWO: NEEDS STATEMENT
SECTION THREE: DESIRED OUTCOMES
SECTION FOUR: MODE OF TRAINING OR TECHNICAL ASSISTANCE

Describe the type of technical assistance or training that you are requesting.  Our TA Advisors will work with you to tailor the training and technical assistance to your needs. This will help us to understand the general ways in which you would like to receive these services. TA often involves more than one mode of delivery, so please choose all that apply (double click the gray boxes to place a check mark):

If you requested an in-person option, please provide the estimated number of days and frequency: 1 or 2 days in-person consultation if needed and could be combined with other TA requests 2 days in person consultation at site.

SECTION FIVE: REQUESTED TIME PERIOD & DATES
Time Zone
Time of Day
Please select the most desirable day for you to attend a training event.
SECTION SIX: PRODUCTS