Form 1 General T/TA Event

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General T/TA Event Form

General T/TA Case Number: GTA3434

Definition: General T/TA Event form tracks T/TA made available to multiple States/Tribes/Territories as a means of training, information sharing, peer networking,
or dissemination. General T/TA Activities are one-time or regularly scheduled T/TA Activities and are usually targeted to a particular group of recipients that share
interest in a topic or issue. General T/TA Activities are not tailored to the needs of a specific State/Tribe as part of a T/TA Work Plan in response to a T/TA
Request. Examples: webinar, conference presentation, regional meeting, etc.

Short Title*
Narrative description of T/TA Event*
Targeted Participants*
(e.g., state CW agency directors, Tribal workers, adoption managers, county or local directors, foster care supervisors, family court judges, private
agencies operating on behalf of the State, etc.)

Start Date of T/TA Event*

mm/dd/yyyy

Start Time*

HH:MM Eastern

End Date of T/TA Event*

mm/dd/yyyy

End Time*

HH:MM Eastern

Duration of T/TA Event

Total # Days*

Total # Hours*
Round to the nearest ½ hour

Members of the T/TA Network Involved in T/TA Event*
Nat Res Ctr Org Improvement
Nat Res Ctr Protective Services
Nat Res Ctr Legal & Judical Issues
Nat Res Ctr Welfare Data for Adoption
Nat Res Ctr for Youth Development

Added network members

NOTE
States and others
are options here.

Click to ADD >>
<< Click to REMOVE

Phone*

Email*

Lead Contact Person*

Registration URL/Web Address
Dial-in Number

Participant Code

If in-person, location of general T/TA Event

Mode of contact

Type of T/TA

(select one)

(choose all that apply)

Practice Area(s)

Organizational/ Systemic Area(s)

(choose all that apply)

(choose all that apply)

T/TA Direct Recipient
(choose all that apply)

NRC/IC Optional Category

Select one

NRC/IC Optional Category #2

Peer-to-Peer: Is this a peer networking event?*

Yes

No

Did any peers participate as providers in this event?*

Yes

No

Select all that apply

Peer T/TA Providers
Total number of participants (targeted by the NRC/IC)
Participating Jurisdictions Represented
Added States/Tribes/Territories

Select States/Tribes/Territories
AL
AK
AR
CA
CO

Optional Code
Is this General T/TA event complete and
is this form ready for closeout?

Click to ADD >>
<< Click to REMOVE

Optional Code
Yes

No

NOTE
If prior to the event,
when “Save” Is selected,
it will auto-populate the
calendar on the home page/
dashboard

General NRC TA Activity Event

NOTE
These fields are required fields (*):
Duration of Event,
Mode of Contact,
Type of T/TA, Practice Area,
Organizational/Systemic Area,
Peer-to-Peer:
Is this a peer networking event,
Peer-to-Peer:
Did any peers (e.g.,...)
participate as providers?,
Total number of participants
before someone can "close"
the General T/TA Event Form

Cancel

Save

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