Training / Webinar Internal Request FormRequestor InformationRequestor's Name* First Last Requestor's Email:* Enter Email Confirm Email Requestor's Phone:Requestor's Organization:SchedulingProposed Training/Webinar Date and Times:(Please provide three date options with three-hour time windows and allow six week lead time from date of request)Proposed Date 1:* MM slash DD slash YYYY Time Window 1 Start: Hours : Minutes AMPM AM/PMTime Window 1 End: Hours : Minutes AMPM AM/PMProposed Date 2:* MM slash DD slash YYYY Time Window 2 Start: Hours : Minutes AMPM AM/PMTime Window 2 End: Hours : Minutes AMPM AM/PMProposed Date 3:* MM slash DD slash YYYY Time Window 3 Start: Hours : Minutes AMPM AM/PMTime Window 3 End: Hours : Minutes AMPM AM/PMDo you need help from the training team with scheduling?Training / Webinar DescriptionProposed Title:*Statement of Need/Goal of Training:*Please tie this need to Strategic Plan goals.Intended AudienceEstimated Number of Attendees:Type of Audience:Region(s):Outside Presenters or OrganizationsExternal Presenters:Do you have recommendations on presenters outside of CCEH? If so, please list below:First NameLast NameOrganizationEmailPhone External Organizations:What other organizations need to be involved? Please list:OrganizationContact First NameContact Last NameContact EmailContact Phone Additional InformationAssistance Needed:What type of assistance would you like from the Training Team? (Please check all that apply) Host Training / Webinar Content Development Planning & Coordination Marketing of Training / Webinar Compile Slides & Resources Format Slides & Resources Any Additional Information:
