PDA Training Request Form (TRF)

REQUESTING PDA BUREAU/OFFICE
REQUESTING PDA BUREAU/OFFICE
DATE OF REQUEST:*

MonthDayYear
Enter the date you are filling out this form; not the event date.
PDA BUREAU/OFFICE:
DIVISION/UNIT/SECTION (optional)
PDA BUREAU/OFFICE DIRECTOR NAME: (Name of PDA bureau/office director approving this request, even if it differs from the name of the person completing/submitting this form.)*

First NameLast Name
PDA BUREAU/OFFICE DIRECTOR EMAIL ADDRESS:*

Confirmation EmailEmail Address of PDA bureau/office director approving this request, even if it differs from the name of the person completing/submitting this form.

TRAINING REQUEST DETAILS
TRAINING REQUEST DETAILS
TRAINING TYPE:*

EVENT: Conference (symposium, forum, large meeting/training)EVENT: Webinar (training, info session, etc.)EVENT: Venue Selection/Catering ONLYPDA LMS: Recording Session/Training video-contentPDA LMS: eLearning Content/Course Development
TRAINING FORMAT:*

In-person EventVirtual EventPDA LMS Online Training Content ONLY
EVENT TITLE:*
Enter the title of the PDA event exactly as you want it to appear in the event announcement emails.
ONLINE TRAINING TITLE:*
Enter the title of the training course/resource exactly as you want it to appear in the PDA LMS training portal.
EVENT SUBCONTRACTOR (if applicable):
Name of agency subcontracting this event. Leave blank if there is no "subcontractor".
ONLINE TRAINING SUBCONTRACTOR (if applicable):
Name of agency developing this online training course/resource. Leave blank if there is no "subcontractor".
TRAINING DESCRIPTION/OVERVIEW:*
Please describe the purpose for this training request.
TRAINING GOALS AND OBJECTIVES:*
Please describe the goals and objectives for this training request.

PRIMARY CONTACT INFORMATION
PRIMARY CONTACT INFORMATION

Please list the primary contact person at PDA who will work directly with P4A in planning this event.
Full Name of PDA Primary Contact:*

First NameLast Name
Phone Number of PDA Primary Contact:*
Email Address of PDA Primary Contact:*

Confirmation Emailexample@example.com

FUNDING: (PDA Liaison ONLY)
PDA TRAINING CONTRACT LIAISONS:

PDA Liaison:
Name: Steve Rodgers
Email: sterodgers@pa.gov

P4A Liaison:
Name: Brenda Appel
Email: bappel@p4a.org
FUNDING: This section to be completed by the PDA Liaison ONLY!
TO BE COMPLETED BY PDA LIAISON ONLY! In the textbox below, please provide the estimated costs of this training request, including a breakdown of all categories of spending and their associated costs. NOTE: For requests without a known cost estimate, P4A will provide PDA with this information for review and final approval.
Cost:
Account #:
Account Track: