Training Request Form Ct

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Submit by E-Mail
Connecticut Office of State Ethics Training Request Form
Return completed form to Nancy Nicolescu via e-mail: nancy.nicolescu@ct.gov; or fax: 860-263-2402
CONTACT INFORMATION
Name: _________________________________________________________________________________
Agency/ Department: _____________________________________________________________________
Title: _________________________________________________________________________________
Phone Number: _________________________________________________________________________
E-Mail: ________________________________________________________________________________
TRAINING REQUEST
(Please choose one)
Part I of the Code of Ethics for Public Officials and State Employees
Part II of the Code of Ethics for Lobbyists
Part I Overview for Current or Potential State Contractors
 General Overview of State Ethics Rules for Municipalities
(
Note: The State of Connecticut Codes of Ethics do not apply to town or municipal employees. Presenter(s) will
not be able to address specific questions relating to municipal matters, as these matters are outside of the OSE's
jurisdiction at this time.)
TRAINING DATE REQUESTED: __________________________________________________________
ALTERNATE DATE: ____________________________________________________________________
NUMBER OF ATTENDEES: ______________________________________________________________
AUDIENCE MAKE-UP (Please choose one)
All Agency Employees
New State Employees
Primarily Managerial Staff
Board/Commission Members
Other _______________________
TRAINING LOCATION (complete address including room number, if applicable)
Agency/ Department: ____________________________________________________________________
Address: ___________________________________ City: ___________________________Zip_________
Parking location for OSE presenter:
_________________________________________________________________________________________
A/V Equipment available onsite for PowerPoint presentation
(Laptop, projector, screen or blank wall):
YES
NO
Specific questions you would like presenters to address or specific areas of the Code on which you would
like presenters to focus:

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00 votes

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