DCFS Training Request

Date of Request: *

Month

Day

Year

Who is completing this form? *

Abby Barth

Kirsten Perry

Phone Number *

E-Mail *

Service Area *

General Information

Who is your target audience? *

What is the topic or content of training needed? *

What is the situation or circumstance that brought about the need for this request? *

What are the knowledge, skills, and abilities you want participants to gain as a result of this training? *

What changes in practice do you want to occur as a result of this training (program improvements)? *

How will you know if things are better? *

How much time can participants dedicate to this training? *

Please identify a contact person for this request that can answer additional questions and review training content. *

What would be the best way to offer the training so the people who need to attend will be able to? *

Face-toFace/Classroom

Interactive Webinar/Trainer led

Online/Self-paced

Open-Closed

Open

Closed

This is for administration only.