ECHO Technical Assistance & Training Request
Email address *
Name *
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Position/Title *
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Agency *
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Project Name *
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Project Type *
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Address/Project Office Location
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Phone (include extension)
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Email address *
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Preferred method of contact
Please select any of the following items your project is requesting Technical Assistance for
Describe the current situation and reason for TA request. Please be as specific and concise as possible. Provide any background information on the issue for which TA is being requested.
Describe the goals and outcomes you would like to achieve as a result of this TA. (optional)
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Priority *
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Other information *
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TA: Training Request
ECHO will provide or coordinate training opportunities to help current service providers develop their knowledge, skills, and abilities in using best practices.
Please select any of the following training topics
Please provide any details surrounding training needs: (number of partcipants, location of training, request for outside training provider, budget - if applicable). Please include any other training topics not listed above.
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Include additional contact information for all persons who should be included in future communications.
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A copy of your responses will be emailed to the address you provided.
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