Alaska Region T/TA Center Technical Assistance Log
The purpose of this form is to capture interactions with the Alaska Region applicant and grantee community. Please track any emails, phone calls, or other interactions with current eTA clients, prospective eTA clients, and anyone contacting the Alaska Region T/TA Center. The data will be used for quarterly reporting.
T/TA Provider (Name)
Clear selection
Inquiry Date
Check all that apply
Name of Inquirer OR Contact
Check all that apply
Inquirer's Phone No.
Check all that apply
Inquirer's Email Address
Check all that apply
Name of Inquirer's or Contact's Organization
Check all that apply
Nature of Inquiry
Choose all that apply
Notes
Copy and Paste Email
(Note if the Email is extensive, break the email up into shorter sections)
Copy and Paste Email
(Note if the Email is extensive, break the email up into shorter sections)
Copy and Paste Email
(Note if the Email is extensive, break the email up into shorter sections)
Copy and Paste Email
(Note if the Email is extensive, break the email up into shorter sections)
Copy and Paste Email
(Note if the Email is extensive, break the email up into shorter sections)
Submit
Never submit passwords through Google Forms.
This form was created inside of Three Star Enterprises LLC.