Education Service Center, Region 20
Project GREAT Center of Excellence- Region 8
TRAINING REQUEST FORM
Please complete one form per training date. Duplicate this form as needed and return by fax to (210) 370-5754, Attention: Olga Escamilla or e-mail form to olga.escamilla@esc20.net.
Adult Education/Even Start Program Requesting Training:
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Contact Person: _____________________________________________
Address: ____________________________________________________________
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City: __________________ State: ____ Zip Code: _____________
Telephone number: _____________________ Fax number: ________________________
E-mail address: ___________________________________________________
Training date requested: _______________________________________
Training time requested: _________________________________________________
(ex: 9:00 am to 12:00, 8:30 am to 4:30 pm, 5:30 pm – 8:30 pm)
If full day training, what time will your lunch break be scheduled? __________________
How many participants do you expect will attend the training? __________________
How many presentations would you like to have on the date of the training? __________
Where will the training be held? ___________________________________
Address of the training location: _________________________________________
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Building/Room number: ______________ Telephone number: _____________________
Please identify and describe training topic(s):
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Signature: ________________________________________________
Date: ____________________________
For additional information on current training descriptions visit the South Central Region GREAT Center website at http://www-tcall.tamu.edu/projectGreat/southCentral/index.htm. If you have any questions please contact: Olga Escamilla, Educational Specialist at (210) 370-5284 or e-mail olga.escamilla@esc20.net
