On-Demand Training Request

On-Demand registration forms are available on the Arizona LTAP web site www.azltap.org.
Agency must complete the On-Demand Agency Contact, Agency Registration Form. Upon completion, fax back to the Arizona LTAP Center at (602) 712-3007 Attn: Annie Parris.
Course will be considered tentative until the Arizona LTAP Center receives all forms. Once forms are received, course will be confirmed.
The instructor will do any necessary follow-up (if required).

All participants must be Transportation Employees. If participants are not transportation employees, the fee to attend the course is due to the Arizona LTAP Center prior to the course start date.
Once a course has been scheduled, the date will remain tentative until required paperwork has been turned in to the Arizona LTAP Center. The paperwork "due date" will be established when the course is tentatively scheduled.
Once paperwork is received, the Arizona LTAP Center will contact the "host" and confirm the course and location.
If course is to be cancelled, Arizona LTAP Center requires a two-week notice prior to the training start date.

Any questions please contact Annie Parris at (602) 712-8461.

A complete agency contact form is required to confirm On-demand training date, or course cannot be guaranteed.

Any questions with this information please call Annie Parris at (602) 712-8461.

On-Demand Request Form (Word Format)
email to aparris@azdot.gov as an attachment

Fax to: Arizona LTAP at (602) 712-3007

OR mail to: Arizona LTAP On-demand Training
1130 N 22^nd Ave.,
Phoenix, AZ 85009

Please print or type. All information is required to process your training request.

Course Name

Training Dates

Location (Facility must accommodate 30 participants.)

Date Requested

Contact Name

Agency

Job Title

Phone

Fax

Address

E-mail

*Contact will act as Host for training and is ultimately responsible for acting as agency coordinator with the LTAP Program.

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Signature

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Title

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Date

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Phone Number