* 1. Contact Information

* 2. Please describe the technical assistance you are requesting. Please explain the need for
the technical assistance and the problem you are you trying to address.

* 3. What are your goals? What do you hope to achieve through the TA?

* 4. What steps have you taken to address the problem so far?

* 5. What organizations would be involved in the TA?

* 6. What kinds of TA are you interested in?

* 7. What professionals/disciplines would you like to hear from?

* 8. Is there anything else we should know?