Trainer Needs Request Form
Trainer Information
Address (if new)  
Phone (if new)  
Workshop Information
Title of Workshop*    

Location of Workshop  

Dates of Workshop  

Will you need lodging?  
If needed, dates of lodging   
Equipment   Needs
  VCR/TV Dates Needed  


  LCD Projector Dates Needed


  Laptop Dates Needed


  Flip Charts - How many?


  Podium Dates Needed    








Other Equipment Needed     
Room Setup  
Handout Preferences  
Handout Organization  
Special Handout Distribution  
Any other requests?