L&OD - OD Request Intake Survey

Hello, 

Thank you for your recent L&OD request for organizational development/consultation services. 

As a first step in the process, please fill out the brief survey below with as much information you currently have available. Once this information is received, we will reach out to schedule an initial intake/consultation meeting with you and/or your staff you identify below. 

Please note: Any information provided in this form will be kept strictly confidential and will only be used for purposes of preparing for the upcoming meeting with L&OD staff. 

After submittal, please allow up to 48 business hours for a response from L&OD staff.

Thank you, and please reach out to HRLOD@Rivco.org should you have any questions! 

Regards, 

Learning & Organizational Development 
Riverside County Human Resources Department 
HRLOD@Rivco.org 

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* 1. What is your name?

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* 2. What County Department is this request for?

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* 3. Please provide the name(s) of any other staff that should be invited to the initial intake/consultation meeting with L&OD staff: 

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* 4. Please provide a brief description of the issue you/your department is experiencing, that you would like to discuss with L&OD staff for possible intervention and/or solutions: 

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* 5. When did the above issue begin to occur?

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* 6. What is your anticipated timeframe for a solution/intervention to be deployed within your department? (Example: ASAP, within the next 6 months, within the next year, 1-2 years, etc.) 

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* 7. Please provide any additional information you would like us to know in the box below: (Optional)

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