Training Room Request and Agreement Form

The Training Department of HSGD has a limited number of training facilities for its use. There are other room resources available at Central Office and in our field facilities that may also be available.

If you are requesting the use of any HSGD facility, please read the following agreement, and if you accept the conditions, complete the request section of this document, sign this agreement, and return it to Cinithia Melton in Training.

Terms of Agreement

  1. Any training or other function of the room(s) requested will be within the letter, spirit and supportive of HSGD�s Mission Statement.
  2. All training activities will adhere to HSGD Training Policies and Procedures, such as: Outline of training submitted to Training, Sign-In Sheets submitted to Training, etc.
  3. If furniture is rearranged in the room(s), it will be restored to the original setup when activity is concluded.
  4. Room(s) will be cleaned to the state of cleanliness in which the room was acquired, although it is not required to empty the trash cans. Note: vacuum cleaner is available in Training storage area.
  5. Person responsible for activity will meet with a representative from Training after session to check room(s), equipment, give Sign-In Sheets, and Evaluations (if used).

    Request

    Name
    Phone  
    E-mail
    Name of activity
    Number of Participants
    Target Audience
    Date // Time -
    This activity is best suited for Classroom style setup (chairs and tables)*
    Theatre style setup (chairs only)
    Preferred set of room Traditional (chairs facing forward)*
    Square (chairs facing middle of room)
    Horseshoe
    Other
    Equipment you are requesting the Training Department to provide:
    Overhead
    Flipchart
    Laptop Computer
    PowerPoint Projector
    VCR
    DVD    		 Slide Projector
    Filmstrip Projector
    Projection Screen
    Television
    Other
    If this activity requires multiple sessions or you plan to repeat this session, indicate other dates you would like to use.
    Date //  &  Time -
    Date //  &  Time -
    Date //  &  Time     -
    		Date //  &  Time -
    Date //  &  Time -
    Date //  &  Time     -
    Do you have other needs that could require the assistance of the Head Start Training Department or Head Start staff?

    Please understand that all scheduled training sessions in Head Start facilities can be rescheduled or cancelled if higher priorities or more immediate priorities arrive. "First come, first served.", although recommended will not always work.

    Send this original to Cinithia Melton, Staff Development Coordinator, and keep a copy of this agreement for your records.

    I agree to all the terms of this Request and Agreement.
    (Entering you name in this box will be considered your signature and agreement.)

    Name  

     

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