Technical Assistance Request Description

Provide the following information via telephone, email, or fax when making a TA request:

Briefly describe your request, listing the anticipated outcomes that reference one or more of the core messages noted above.
List the individuals participating in or receiving the TA (e.g., representation from educators, agencies, administrators, and parents).
Describe the potential for regional impact.
Identify data collection and tracking procedures that may be relevant to this TA request.
Include the name(s) and contact information of the consultant(s)—if you have anyone in mind—with whom you wish to work.
Include the name and contact information of the entity functioning as the fiscal agent.