TTAC Training and Technical Assistance Request

Please complete the following request form to help us better understand your training and/or technical assistance needs.

Contact Information

* Required fields
* Name:
* Organization:
* E-mail:
* Phone:
   Zip/Postal Code:
   Country (if outside the US):
   What is the best way to contact you?

TTAC will work with you to establish an appropriate training plan. Click to view descriptions of TTAC's training opportunities.
Please indicate the training(s) of interest:

  Technical Assistance
TTAC staff and consultants can provide on-site, telephone, and online assistance in an array of areas.

If your need does not fit any of the trainings listed at left, identify the area(s) of assistance needed from TTAC:

What, specifically, do you want to accomplish from the technical assistance?

Don't worry if you cannot completely identify all your needs - TTAC can help you define them, but do give us as much description as you can.
Supplemental Information  
This information can assist TTAC staff in coordinating a response to your request for training or technical assistance.
What is your timeline for this assistance?
How many years has your program been in operation?
Will a coalition be involved?      
With whom have you discussed your need for training/technical assistance? (e.g., funding agency, CDC project officer, supervisor, etc.)
Code Verification:

Once you submit your request, TTAC staff will respond within 2 - 3 business days to discuss your request in more detail and determine the best way to meet your need(s).

Last updated 6/15/15