Training Request Form

Training Request Form

HAB 203B 1 Hawk Dr.

New Paltz, NY 12561

Phone:(845)257-3171

Fax:(845)257-3956

Please send to

kniffina@newpaltz.edu

or HAB 203 upon completion. Requests will receive a response within one week of the date of the request.

(At least three weeks advance notice is recommended.)

Name:

Title:

Date

Department/club/organization:

Phone numbers:

Office

Department

Addresses:

Campus

E-mail

----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------

TOPIC(S) REQUESTED

Workplace Violence / Domestic Violence

Time and Attendance for Supervisors of

Workplace Civility

Classified Employees

Performance Programs and Evaluations

Counseling and Counseling Memos

Other, Please specify topic

_____________

*Please note that requesting departments should secure an appropriate training

location once date and time have been confirmed.*

Training

Bldg.

Room

Approx. no. of

Length of time allotted

Location:

Participants

Address if off campus:

List three dates and times in order of preference:

DAY

DATE

TIME

1st Choice

2nd Choice

3rd Choice

Notes:

TRAINING REQUEST CONFIRMATION - FOR OFFICE USE ONLY

Today's date __________________________________

Request taken by (HR staff) ___________________________________

Training presenter ___________________________________________________________________________________________

Scheduled on __________________________

_________________________ from _________________ to ___________________

(day)

(date)

(time)

(time)

Confirmed

Regretted

by ____________________

on ____________________

02/2014

Phone

e-mail

in person

(initials)

(date)