TA & Training Request Form

TA & Training Request Form

Contact Information:

Full Name of TAR Requester*

Email of TAR Requester*

Phone of TAR Requester*

Title/Role of TAR Requester*

Organization*

Request Details:

Please describe, in detail, the technical assistance you would like to receive from RMTEC and how it will support your work.*

RMTEC Staff ONLY- Name of staff submitting request

RMTLC staffer that is submitting on behalf of Requester

Select

When does the technical assistance being requested need to be completed?

Please note that the nature of the assistance requested will determine the timeline involved. We recommend that requests be made well in advance of any deadlines.

Policy Statement:

Note that RMTEC will make every effort to ensure that all technical assistance requests received are responded to in a timely manner.

I certify all information in this request is true and correct to the best of my knowledge. I will notify RMTEC of any changes.*

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