Onsite requests

On-Site Technical Assistance Request Form

General Information

Agency

Address

Contact Person:   

Phone

Contact E-mail:                       

Program:  W-2        Child Care


Type of support requested

Check the type of onsite support requested and complete all information.

Training Session on a specific topic

This includes a short training session related to a specific area of need.

Topic:      Length of Time: 

Description of Need:

 

General Support within the agency

This includes general support which will include assignment of a PTS trainer to be onsite in the agency for a specific period of time to assist workers with issues and questions as they arise, case processing, or sitting in on intakes or reviews with customers.

Description of Need:

 

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



Last Revised: August 13, 2008