<%@ LANGUAGE="VBSCRIPT" %> <% Response.Buffer = True %> <% STATUS = Request("STATUS") %> <% PASSWORD = Request("PASSWORD") %> <% If Session("PASSWORDACCESS") <> "Yes" Then %>
PMSUtils
 
This area is for active consultants only.
Please enter your password below.


If you have forgotten your password
please email: password@chpinternational.com
or call Toll-Free 877-959-1967 Tel. 708-524-8450
<% Response.End %> <% End If %> PMS Consultants Only TTA Rpt Form
Program Management and Supervision

Training & Technical Assistance Report Form

The text boxes expand (there is more room for complete answers than it may appear).

When completing a question that requires a long answer (i.e. Brief Technical Assistance Description; Highlights: Positive Outcomes, Milestones, Successes, Brags; etc.) you may copy and paste an existing document, or create a new document in any text editor (MS Word, WordPerfect, Notepad, etc.) copy it and then paste the text into the window.
[Windows users: to save; highlight all text, click the "CTRL" and "C" at the same time; to paste: place the cursor in the 'box' where the answer should be and click on the "CTRL" and "V" at the same time
Apple users: to save; highlight all text, click the "APPLE" (Command) key and "C" at the same time; to paste: place the cursor in the 'box' where the answer should be and click on the "APPLE" (Command) key and "V" at the same time.

Program Management & Supervision Menu

TRACKING # PM-

Report Writer:

Date of Report:

Event:

Location:

Date(s) of work:

Requesting Organization:

Main Contact and Title:

Trainer(s):

Cluster Facilitators Involved:

Number of Participants Served:

Streams of Service Involved:

 AmeriCorps
 VISTA

 L&S America
 Senior Corps

Checkoff documents being forwarded by mail with this report:

 Sign-in Sheets

 Agenda

 Participant Evals.

 Roster

 Handouts

 Developed Products

 Participant Work

 Other

Brief Technical Assistance Description. What was done? What were some of the major activities? Trainer’s impressions of how it went? Were T/TA objectives met?

Highlights: positive outcomes, milestones, successes, brags

Highlights: problems, concerns, red flags, hot buttons pushed

Lessons learned

Events or prior history which effected T/TA significantly

Follow-up recommendations & Suggestions for improvement

Coaching process and progress

Facilitation team functioning and performance

Additional comments

 

Program Management Project
CHP International, Inc.
 1140 Lake Street, Suite 401, Oak Park. IL 60301
Toll-Free  877-959-1967  Tel.  708-524-8750  Fax.  708-524-8756
Email: prgmgt@chpinternational.com

CHP International, Inc.
 1040 North Boulevard, Suite 220, Oak Park, IL 60301
Tel. 708-849-9650  Fax. 708-848-3191  Email. info@chpinternational.com

Website by 3Planets.com Send comments to webmaster@CHPinternational.com