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SSIS Learning and Development Request Form

This form's intended function is to submit a training request to the SSIS Learning and Development (L&D) team to determine the best solution(s) for the requester’s need(s). Please be advised that this document is to be completed by an SSIS Mentor, Coordinator, Social Services Supervisor, or State Policy Representative with a training need for SSIS. Also, while we ask that requests be submitted by these designated roles, SSIS training may be provided to all agency staff who have an identified SSIS learning need.   

All questions throughout this form are required so answer to the best of your knowledge and ability. 

Once we receive the request, the team will review the information and determine a recommended solution. Requests are reviewed by the L&D team in the order received and response times will vary based on the details in the request.

After making a determination, a member of the L&D team will reach out to discuss next steps.

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Requestor Details

Please include your name, your agency name, and your role at minimum.

Maximum 255 characters

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Maximum 255 characters

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Maximum 255 characters

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Maximum 255 characters

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