Request For T2 Training

Please complete this form and we will contact you regarding your request.

Name:

Email:

Phone Number:

School/District:

Type of Training Requested: Awareness (45-90 minutes) Half Day Training (3 hours) Full Day Training (6 hours)

Requested Training Date - First Choice:

Requested Training Date - Second Choice:

Requested Training Time
Beginning at: and Ending at:

Training Location:

This Location is:

Computer Lab
Library/Media Center
Auditorium
Other (Please Describe)

Number of Participants Expected:

Participants are primarily: Classroom Teachers Administrators Technology or PD Trainers Other

Will all participants have access to computers during this session? Yes No

If there is a specific trainer you would like to request, please enter his/her name:

Other Comments or Questions: