CSTE Technical Assistance Request Form

CSTE Technical Assistance Request Form - EHE Jurisdictions

CSTE aims to increase epidemiology and surveillance capacity in state, local, tribal, and territorial jurisdictions. CSTE, in collaboration with the Centers for Disease Control (CDC), National Alliance of State and Territorial AIDS Directors (NASTAD), and Tsuro Consulting, is offering technical assistance (TA) to support Ending the HIV Epidemic (EHE) jurisdictions. The aim of this offering is to support EHE jurisdictions seeking assistance with implementing EHE plans. TA consultations will be conducted virtually.

If you have any questions, please reach out to Symone Richardson at srichardson@cste.org.

Name*

Email*

Agency/Organization*

EHE Jurisdiction*

Are you from an Ending the HIV Epidemic (EHE) jurisdiction?

Yes

Further Technical Assistance Support

If you are not from an EHE jurisdiction, please reach out to your CDC Joint Monitoring Team or state health department for technical assistance.

EHE Plan*

Is this technical assistance request being made to help you implement your EHE plan?

Yes

Technical Assistance Request*

Please describe your HIV technical assistance request.

Implementing EHE Plans*

How will this technical assistance help you implement your EHE plans?

File Upload

Optional: Upload any additional supporting material.

Drag and drop files here or

Technical Assistance Request Date*

Please select today's date.

Technical Assistance Respond By Date*

Please select the date that a response is needed by.

Send me a copy of my responses

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