Heading Graphic

PRINT THIS FORM TO USE FOR FUTURE REQUESTS

TRAINERS' ROUNDTABLE
Resource Request Form

NAME  
COMPANY  
ADDRESS  
PHONE #  
E-MAIL  
FAX #  

Information Requested:
I am looking for information on the following topic:

I am specifically interested in (check those that apply):

Workshop or seminar outlines
Recommended books, articles, publications, etc.
Recommended vendor
Recommended video tapes
Games, exercises, simulations
Internet sites, resources
Someone to brainstorm ideas
Working on a training "trade" with Roundtable member
Networking (please describe the type of networking opportunity you are looking for)
Other (specify)


I need this information by __________________________
Best time(s) to contact me _________________________

Distribution methods:
1. Mail to Nancy Price (NSTAR, Employee & Organizational Effectiveness Group, 26 Dartmouth Street, Westwood, MA 02090) to include with monthly meeting notices.
2. Complete form, make 30 copies, bring to Roundtable meeting.
3. Complete form and mail to Roundtable members.



Revised: 8/12/04
Contact Webmaster:
Barry.Smith