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General T/TA Event Form
General T/TA Case Number: GTA3434
Definition: General T/TA Event form tracks T/TA made available to multiple States/Tribes/Territories as a means of training, information sharing, peer networking,
or dissemination. General T/TA Activities are one-time or regularly scheduled T/TA Activities and are usually targeted to a particular group of recipients that share
interest in a topic or issue. General T/TA Activities are not tailored to the needs of a specific State/Tribe as part of a T/TA Work Plan in response to a T/TA
Request. Examples: webinar, conference presentation, regional meeting, etc.
Short Title*
Narrative description of T/TA Event*
Targeted Participants*
(e.g., state CW agency directors, Tribal workers, adoption managers, county or local directors, foster care supervisors, family court judges, private
agencies operating on behalf of the State, etc.)
Start Date of T/TA Event*
mm/dd/yyyy
Start Time*
HH:MM Eastern
End Date of T/TA Event*
mm/dd/yyyy
End Time*
HH:MM Eastern
Duration of T/TA Event
Total # Days*
Total # Hours*
Round to the nearest ½ hour
Members of the T/TA Network Involved in T/TA Event*
Nat Res Ctr Org Improvement
Nat Res Ctr Protective Services
Nat Res Ctr Legal & Judical Issues
Nat Res Ctr Welfare Data for Adoption
Nat Res Ctr for Youth Development
Added network members
NOTE
States and others
are options here.
Click to ADD >>
<< Click to REMOVE
Phone*
Email*
Lead Contact Person*
Registration URL/Web Address
Dial-in Number
Participant Code
If in-person, location of general T/TA Event
Mode of contact
Type of T/TA
(select one)
(choose all that apply)
Practice Area(s)
Organizational/ Systemic Area(s)
(choose all that apply)
(choose all that apply)
T/TA Direct Recipient
(choose all that apply)
NRC/IC Optional Category
Select one
NRC/IC Optional Category #2
Peer-to-Peer: Is this a peer networking event?*
Yes
No
Did any peers participate as providers in this event?*
Yes
No
Select all that apply
Peer T/TA Providers
Total number of participants (targeted by the NRC/IC)
Participating Jurisdictions Represented
Added States/Tribes/Territories
Select States/Tribes/Territories
AL
AK
AR
CA
CO
Optional Code
Is this General T/TA event complete and
is this form ready for closeout?
Click to ADD >>
<< Click to REMOVE
Optional Code
Yes
No
NOTE
If prior to the event,
when “Save” Is selected,
it will auto-populate the
calendar on the home page/
dashboard
General NRC TA Activity Event
NOTE
These fields are required fields (*):
Duration of Event,
Mode of Contact,
Type of T/TA, Practice Area,
Organizational/Systemic Area,
Peer-to-Peer:
Is this a peer networking event,
Peer-to-Peer:
Did any peers (e.g.,...)
participate as providers?,
Total number of participants
before someone can "close"
the General T/TA Event Form
Cancel
Save
4
File Type | application/pdf |
File Title | Visio-LH_OneNet Wireframes.vsd |
Author | 15032 |
File Modified | 2010-01-13 |
File Created | 2010-01-13 |