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Training Request Form
Needing some additional training? Fill out a training request form to start working with a coordinator on customizing your training needs.
Today's Date
(Required)
MM slash DD slash YYYY
Tribe Name
(Required)
Contact Person for Training
(Required)
First
Last
Submitted by:
If different from above
First
Last
Phone
(Required)
Email
(Required)
Send Quote to:
If different from Contact Person
First
Last
Quote Mailing Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Training Type
(Required)
In Person at Tribe
In Person at Tulsa
Virtual Training
In Person at Offsite
Number of Students
(Required)
Virtual Training is only up to 8 students.
Please enter a number less than or equal to
30
.
If you chose an in person training, please list whether equipment will be needed, and provide a valid shipping address and contact person.
Equipment Needed:
What equipment will be needed for an in person training?
Projector Needed
Computer Lab Rental Needed
Shipping Address
Please provide physical address, we are unable to ship to a P.O.Box.
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Attention to:
Name of person receiving equipment.
First
Last
If you chose Crystal Reports, Case Management, or Administrative, please select at least 1 module to review.
Training For
(Required)
Basic TAS
Crystal Reports
Case Management
Administrative Etc.
Which Modules?
Please note the more modules requested, the longer the training will be scheduled.
Intake
477
TANF
General Assistance
Child Care
Vocational Rehabilitation
Higher Education
Children Services
Brief Description of Training:
(Required)
Please tell us what you would like and who our audience is. Are they new to TAS, existing users, or a mixture of both?
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