FDLRS Miccosukee Training Request
Please use this form to request training from FDLRS Miccosukee. Submit one form for each training.
Name of person requesting training
*
First Name
Last Name
Email
*
example@example.com
District
*
Please Select
FAMU Lab
FSU Lab
Gadsden
Jefferson
Leon
Madison
Taylor
TCA Charter
Wakulla
Other
Name of training being requested
*
Requested Training Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Training Time (Ex: 8:30am-3:30pm)
*
Number of Participants
*
Audience
*
(Ex: Elementary, Middle, High School; Teachers, Paraprofessionals, Parents, Administrators, Therapists...)
Goal(s) you wish to accomplish with this training.
*
Accessibility Needs?
*
Do you have any participants who are hearing impaired, visually impaired, or need special accommodations? If so, please list below.
Training location?
*
Please state building name, room #, etc.
Does your location have a laptop with a projection screen (or equivalent), internet access, and sound projection / microphone (if large room or all-day training)?
*
If your training location does not have these items, what technology will the facilitator need to bring?
What is your room configuration?
*
Example: 5 tables that each seat 4.
Other important information we should know.
*
Special parking or building access? .
FDLRS Staff will plan to arrive one hour before the scheduled training. Site contact person and technology support person will need to be available for setup. FDLRS will provide sign-in sheets, training evaluation documents and issue certificates upon completion of the training and follow-up. Who will be the onsite contact person for this training?
*
Who is the technology contact for this location?
*
Submit
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