NMPSIA support is now available year-round! If you would like NMPSIA to present for Orientations, Coordinate Health Fairs or you want a training for yourself or your staff, simply complete this survey.

The year is quickly filling up! Please submit your request in advance to ensure a successful planning phase. Once the request is received, NMPSIA will review and do our best to accommodate your request.

If you are requesting multiple events,
please complete the survey for each event separately.

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* 2. Full Name of Contact Person (First Name, Last Name)

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* 3. Contact Email Address

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* 4. Contact Phone Number

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* 5. Have you viewed the trainings and tutorials on the NMPSIA website? (These are a great resource, we recommend you view these on your own prior to submitting a training request)

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* 6. Please provide the date of your event. Consider using dedicated time slots in your district's In-Service days, welcome back or end of the year events. This is a great way to capture majority of your population with a single event. (NMPSIA/Erisa staff will not be available the first week and the last week of the month, due to Board meetings and end of month processing.)

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Time

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* 7. What type of support are you requesting? (If you wish to book more than one event, respond to the survey in its entirety then reload the link to add another survey entry.)

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* 8. NMPSIA will accommodate requests for In-Person and/or Virtual events. Please tell us the type of event you will be hosting.

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* 9. If you selected "in-person" for an Orientation or Health & Wellness Fair, would you like our Carriers to attend? (Must be an all day event and commitment of carriers is contingent on the number of employees expected to attend)

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* 10. If you selected "in-person", please provide the address of the venue where the presentation will be held.

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* 11. NMPSIA presentations are approximately 1 hour with time for Q&A. Please acknowledge your group's willingness to allow this time to be reserved on the agenda for NMPSIA.

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* 12. If you selected an All Staff or New Hire Orientation, what time will NMPSIA be presenting? (please send an agenda as soon as possible)

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* 13. Who will be attending your event?

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* 14. To assist us in preparing for your event, please give an estimate of how many attendees you are expecting.

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* 15. To assist us in preparing for an all day event, will snacks or lunch be provided?

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* 16. Do you have specific topics or concerns you would like us to focus on?

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