DEPARTMENT OF CORRECTIONS
REQUEST FOR TRAINING
A. Division______________________________Office/Section
Office/Section Address_____________________________
Phone
B. Training For: Name___________________________Title Soc. Sec. No._________________ Hire
Date___________Manager
Supervisor_________________________Non-Supervisor
C. Training is: Agency Directed__________ Employee Requested
D. Program Information
Course
Title____________________________ No. of credits Univ.
____________________________ CEUS
Location ___________________________ Total hours of
training
Offered by Date (s) ____________________ Hours Total hours of release time
E. _______________________________________
Participants Signature Office Phone
F. List the objectives of the training and
how it will help improve work performance:
G. Cost to be incurred:
1. Lodging __________ 4. Ground Transportation _________ 7. Other
2. Meals __________ 5. Registration _________
3. Travel __________ 6. Airfare _________
H. Comments:
Immediate Supervisor (Note
reason in comments)
Approve cost Approve release time Disapprove
Signature____________________________________________
Date
Training
Representative (Note reason in comments)
Approve cost Approve release time Disapprove
Signature____________________________________________
Date
Additional Supervisory
Review (If required)
Approve cost Approve release time Disapprove
Signature____________________________________________
Date
Department/Division
Reimbursement
of cost Approved
Disapproved
Release
time
Approved Disapproved
Approving
authority or representative_______________________Date
Administrative
Services Section
Recommended Not recommended Project Number
DOC-1020 (Rev 7/01)