Technical Assistance Intake Form

Contact Information

Please identify a single point of contact for this project. This individual will serve as the liaison for all project communications, including contract processes, progress check-ins and making connections with others in the state as needed.

Name(Required)

First Last

Phone(Required)

Email(Required)

Job Title(Required)

Employer(Required)

Timeline

When would this project start?(Required)

When would this project end?(Required)

Are there key dates to keep in mind?

Contract Process

If this technical assistance involves more than one customized, scheduled interaction with your state, we may require a contract to cover staff time, travel and other direct costs associated with TA. If applicable, please provide us with detailed information about the procurement and contracting process in your state.

Are there any dollar limitations for contracting with non-profit organizations?

Will you need to bid out this work?

What types of documentation will be needed to move the procurement process forward? (i.e., W-9, 990, sole source letter, etc.)

Technical Assistance

In as much detail as possible, what are your objectives for this project? What would success look like at the end of the project?(Required)

What is the content area you need expertise in?(Required)

What types of support would you like Advance CTE to provide?(Required)

Assistance with implementation of Perkins V

Facilitation of a workshop or meeting

Training on a specific content area in CTE for state leaders

Training on a specific content area in CTE for local leaders/practitioners

Training on other skills, such as strategic planning or progress monitoring

Structured thought partnership

Conducting a survey and/or focus groups

If the list above does not encompass your needs, please describe them

What deliverables would you expect from this support?

A completed strategic plan

A completed Perkins V four-year plan

A polished and tested training(s) on specific content, with materials

A summary report

A facilitated workshop(s) to help a planning process and associated materials

What else should we know about this request?