Training Request Form

Contact Information

State Requesting Training*

Person Requesting Training:*

First Last

Title:

Organization:*

Mailing Address:*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Enter Email Confirm Email

I need to schedule training for:*

Select CACFP Options*

Select School Nutrition Options:*

Location of Training (City & State)*

Proposed Training Date:*

Alternate Proposed Training Date:*

Name of Conference (if applicable):

Topic Requested

Anticipated Number of Participants for Training:*

25-35
36-40
ICN face-to-face training sessions are designed for 25-40 participants. If you have more than 40 anticipated participants, please check this box to receive a contact from a member of the ICN Training Team to discuss your options.

Type of Meeting Facility Available For This Training:*

Other Training Venue*

Length of Training Time (minimum of 4 hours per day)*

Enter Other Hours*