Nevada TACSEI Training Activity Reporting Form
This form is to be filled out at the end of each month to report any Nevada TACSEI trainings* you have conducted. This form should be done in addition to getting Nevada Registry approval for all Nevada TACSEI trainings. Nevada Registry approval is obtained prior to conducting the training.

*A training should be counted as a Nevada TACSEI training if it addresses content from any level of the Pyramid Model. The training does not need to be limited to materials obtained from CSEFEL or TACSEI to qualify.

Date *
List the date the training occurred. If the training occurred over multiple days, list the last date
MM
/
DD
/
YYYY
Time *
Please indicate the total hours of your training (e.g., 3 hours, 2.5 hours)
Your answer
Who was your training audience? *
Select the ONE choice that BEST describes your audience.
Required
Where did the training take place? *
List the location (e.g., Kids R Us, The Children's Cabinet, Nevada PEP)
Your answer
If training was a TACSEI only training, what was the content area?
Select the ONE choice that BEST describes the content area.
If you embedded TACSEI content into another training, please select TACSEI areas that were embedded.
Select all TACSEI content area(s) that was/were embedded.
Number of participants who attended the training. *
Put down the total number of participants
Your answer
Who was trainer #1 and what was their role with Nevada TACSEI? *
Identify if you are a master cadre member, leadership team member, or model demonstration site staff.
Your answer
Who was the #2 trainer and what was their role with Nevada TACSEI?
Complete this question if there was more than one trainer.
Your answer
Who was the #3 trainer and what was their role with Nevada TACSEI?
Complete this question if there is more than two trainers.
Your answer
Was the training approved by the Nevada Registry? *
What did participants like best about the training?
Summarize the comments you received on your training evaluation forms.
Your answer
What suggestions did participants give for improving the training?
Summarize the comments you received on your training evaluation forms.
Your answer
In which city did this training occur? *
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