Onsite requests

Onsite Class Request Form

General Information

Agency

Address

City, ST & Zip

Contact Person:  

Phone

Contact E-mail:       

Program:  W-2


Class Information

Class Requested (Title): 

Timeframe (specify dates or time period): 

Room size: 

Number of W-2/TANF participants from your agency: 

Can this class be marketed to staff outside your agency? Yes    No

Additional Comments

Pressing the Submit button below will send the information to PTS.  You can expect a response within 3-5 business days.


The Department of Children and Families, protecting children, strengthening families, building communities.


Last Revised: January 26, 2015