Request for Training / Facilitation
Once the form has been successfully submitted, you will receive an e-mail response with a copy of all data submitted.
If you have any questions while completing the form, contact the Bureau at 651-649-5421.
Request Type:
*
Full LMC Training
Refresher LMC Training
LMC Facilitation Only
Interest Based Collective Bargaining Training / Facilitation
Training (Other)
If Other, please specify:
Name of Employer:
*
Full Name of Employer
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Employer Representative or Counsel:
*
First Name
Last Name
Phone Number:
*
Please enter a valid phone number.
Email:
*
Name of Union:
*
Full Name of Union or Organization
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Union Representative or Counsel
*
First Name
Last Name
Phone Number:
*
Please enter a valid phone number.
Email:
*
example@example.com
Include the Name of any additional parties and Representative contact information for each below:
This selection certifies that all parties identified have agreed to LMC:
*
Yes
Date of Request:
*
-
Month
-
Day
Year
Date
Name of Person Filing this Request:
*
First Name
Last Name
Email:
*
example@example.com
Signature:
*
Submit
Should be Empty: