Training/Exercise Request Form | Homeland Security & Emergency Management

Requester First Name: *

100 characters max

Requester Last Name: *

100 characters max

Requester Email: *

100 characters max

Requester Phone: *

10 digits max

Agency/Business: *

Department: *

Type of exercise: *

Seminar/Workshop - Basic training for team members that are designed to familiarize team members with their roles and responsibilities as defined in the emergency plans.

Tabletop Discussion - Based sessions where team members meet in an informal, classroom setting to discuss their roles during an emergency and their responses to a particular emergency.

Functional Exercise - Personnel to validate plans and readiness by performing their duties in a simulated operational environment.

Full-Scale Exercise - It is a lengthy exercise which takes place on location using, as much as possible, the equipment and personnel that would be called upon in a real event.

Type of meeting: *

100 characters max

Type of Training: *

100 characters max

Provider: *

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Training Course Number (if known):

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Request Reason:

300 characters max

First Choice: *

Second Choice:

Third Choice:

Desired Start Time: *

Desired End Time: *

Number of People Attending: *

Facility support needed: *

Yes

Location/Room: *

Additional Comments (if needed):

300 characters max