Western Wisconsin Partnership Trainer Equipment/Needs Form

Trainer Name
Trainer address (if new)
Trainer phone (if new)
Trainer email (if new)
Title of Workshop
Location of Workshop
Date(s) of Workshop
Will you need lodging?	Yes No 3333If yes, what dates?
	Equipment Needs - Please check only those that we need to supply
VCR/TV	Which days?
Overhead Projector
	Do you have all of your overheads? If not, please explain.
LCD Projector	Which days?
Laptop	Which days?
Flip Chart(s)	How Many?
Podium
Other
Room Set-up	Round tables U Shape Classroom Style
	Handouts
	I will send/deliver a master copy of the handouts 2 weeks before the training.
	I will use the same handouts as last time this training was offered, with no changes.
	I have additional handouts which I will send/deliver 2 weeks before the training with instructions on how to incorporate them into the handouts I used last time this training was offered.
	I will provide the handouts for this training. (please contact our office a week to 2 weeks before the training to verify the number of participants)
	Handout Organization
	Each handout should be copied and placed in separate stacks to be handed out by the presenter(s).
	All handouts should be collated into a binder or folder and handed out by the presenter.
	All handouts should be collated into a binder or folder and given directly to participants.
	Distribution of handouts varies, explain below:

Any other requests?

Western Wisconsin Partnership
Social Work Program
University of Wisconsin-River Falls
410 South Third Street , B0026 WEB
River Falls WI 54022
Phone: (715)425-0612
Fax: (715)425-3800
Email: mary.lou.bean@uwrf.edu
Website: www.uwrf.edu/wwpartnership