NIHTC Customized Training Request Form

Complete this form by entering the requested information below. Submit the completed form and a Program Manager will contact you to discuss your training needs.

Name

Title

IC

Email

Telephone Number

Estimated Time for Course

What?

1. Course Topic

2. Course Description (Please, include a broad course outline or describe the suggested training.)

Who, Why and Where?

3. Target audience and number of participants.

4. What is driving the need to offer this training for your team?

5. Would you like to offer the training on-site at your location, or at the NIH Training Center for an additional fee?

Goals, Objectives and Responsibilities

6. What specific goals/objectives will be achieved as a result of offering this course?

7. How will you measure success?

8. Can you share a list of responsibilities the participants typically perform in their roles?

Thank you for contacting the NIH Training Center for your training needs.

Contact us to ask a question, provide feedback, or report a problem.

NIHTC Customized Training Request Form

Thank you for contacting the NIH Training Center for your training needs.

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