Consultation Request Form

Organization name*

Location Address*

Street Address Address Line 2 City State ZIP Code

Contact person name*

First Last

Contact person email*

Contact person phone*

Type of service*

Staff Development and Workforce Training
Consulting Services and/or Technical Solutions
Other

You selected service type : Staff Development and Workforce Training

Number of Participants Expected*

Intended Audience (teachers, library staff, parents, etc.)*

Training Format Preference*

In-person
Webinar

Preferred training method

Date and Time*

Preferred Start Time*

:

Preferred End Time*

:

Alternate Date*

Alternate Start Time*

:

Alternate End Time*

:

Training Topic

Please provide a description of the type of training the library is interested in, or the desired outcome(s) of the training. We will contact you for a consultation to further refine your tailored training topic.

Technical Requirement/Support*

I acknowledge the Technical/Support Requirements

The host location must provide wifi, overhead projection, and technical support for connectivity of equipment. The host location will be responsible for printing of handouts (to be provided by HSLC) for attendees

You selected service type : Consulting Services and/or Technical Solutions

Consulting Service(s) Request

Please select a consulting service topic from the list below. If the library is interested in discussing a tailored consulting service, please let us know below.

Other (Please Describe)

Project Description

Please describe the consulting service topic and general outcome(s) the library is hoping to achieve.