New Training Request Form

Requestor and Project Information

Please complete all the fields on the project request form. The new project team meets monthly to review requests.

Question Title

* 1. Please enter the Requestor Information below.

Requestor Name *

Company *

Address *

Address 2 *

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address *

Phone Number *

Question Title

* 2. Who is the sponsor or advocate for this program?

Question Title

* 3. What is the topic of the training?

Question Title

* 4. Please enter a high level timed outline of the course topics.

Question Title

* 5. What is the target length of the training (hours, days)

Question Title

* 6. What will be the delivery method, check all that apply.

In Person

Online Live

Online Self-Paced

Question Title

* 7. If a Subject Matter Expert(s) has committed to assist with this project, list name(s) below.

Question Title

* 8. Will this training be based on supporting publications or existing materials?

Yes

If Yes, please list below.

Question Title

* 9. Are there any similar and/or existing ICC Training available?

Yes

If Yes, please note which training may be similar.

Question Title

* 10. Are there any competitive offerings (identical or similar, including Preferred Provider)

Yes

If yes, please note which training may be similar.

Question Title

* 11. What is the specific need and/or justification for this training? Select all that apply.

Financial

Strategic

Political

Required Update (Code Year or Other)

Chapter Request (CEB)

Code Adoption

Jurisdictional Customizations

Collaboration

Other (please specify)

Question Title

* 12. Who is the target audience?

Question Title

* 13. Approximately how many participants will there be?

Question Title

* 14. How many times will this training be offered?

1-5

6-10

Unlimited

Other (please specify)

Question Title

* 15. Is this training primarily to (please select all that apply):

Promote career advancement

Meet a licensing requirement

Advance personal growth

Prepare for an exam

If not listed above, please note here.

Question Title

* 16. When is the expected/requested launch date for this program?

Date / Time

Date

Question Title

* 17. This training will be expected to (check all that apply)

Generate funds for ICC's mission

Recover its development costs

Fill a gap in our training offerings

Meet a public expectation

Create or promote adoptions

If other, please note here.