Instructions: Employees should use this form when requesting funds from the training budget to participate in training events. Supervisors should use this form when nominating employees for management training courses (FFS, ESI, VMI, VNRLI, etc.). Submit this completed form to the manager of training and safety programs along with information on the training event (flyer, agenda or syllabus).
SECTION 1 – Employee Information
Name:	Nomination:	Yes	No
Title:
Work Area:
SECTION 2 – Training Event Information
Name of Event:
Offered By:
Date(s):
Estimate of Costs:	$	Registration
$	Lodging
$	Per Diem
$	Airfare
$	Car Rental
$	Mileage for Personal Vehicle
$	Misc.
$	Total
SECTION 3 – Purpose of Training
Skill Gap – to address current gaps in skills or knowledge needed to perform job
Career Competency – to keep current on, or enhance, job skills / knowledge / professional networks so that no gaps in performance or agency standing are realized
Organizational Development – to help employee meet career development objectives as identified in his/her Individual Development Plan
Other Business Needs of the Agency:
Briefly describe below how this training will address the employee’s developmental needs or the agency’s business needs.
SECTION 4 – Signature
Supervisor Name (Print)	Supervisor Signature	Date