Solutions Desk - Request for TA Referral from the Solutions Desk


SHARED YOUTH VISION FEDERAL COLLABORATIVE PARTNERSHIP
Once the Request for Technical Assistance Referral form is submitted you will be contacted by the Solutions Desk within two business days to confirm your request. At that time, you may be asked for further information. After the nature of the request is determined, it will then be sent to the appropriate Federal Partner(s) who will respond to the State Team. Two weeks after the request is submitted the Solutions Desk will follow-up with both the State Team and the appropriate Federal Partner(s) to ensure that the request is being processed. To view the full request process click here.
State Team

Contact for this Request
Last Name	First Name

Title	Agency

Street Address	City

State	Zip

Phone	Fax

Email	Organization Website (if available)

What is your request/issue you want to address?

What outcomes/results do you expect as a result of this TA request?

Which youth group is this request regarding? (Check all that apply)
Foster Youth Juvenile Justice Youth Children of Incarcerated Parents Migrant Youth	Native American or Indian Youth Pregnant and Parenting Youth Runaway and Homeless Youth Youth with Disabilities Other
What topic is the primary focus of your request? (Check all that apply)
Business Child Welfare Education Employment Housing Industry	Mental Health Service Learning Social Security Benefits Substance Abuse Other
Which federal partner is the target of this request? (Check all that apply)
U.S. Department of Education - Office of Elementary and Secondary Education U.S. Department of Education - Office of Indian Education U.S. Department of Education - Office of Special Education and Rehabilitative Services U.S. Department of Education - Office of Vocational and Adult Education, Division of Adult Education and Literacy U.S. Department of Health and Human Services - Administration for Children and Families U.S. Department of Health and Human Services - Substance Abuse and Mental Health Services U.S. Department of Housing and Urban Development - Office of Public Housing Investment, Public and Indian Housing U.S. Department of Justice - Office of Juvenile Justice and Delinquency Prevention U.S. Department of Labor - Business Relations Group U.S. Department of Labor - Office of Disability Employment Policy U.S. Department of Labor - Indian and Native American Programs U.S. Department of Labor - Division of Youth Services U.S. Social Security Administration - Office of Program Development and Research The Corporation for National and Community Service Federal Partnership
Type of Request (Check one)
Information Request Onsite TA/Training Request for Speaker(Federal/State) Peer to Peer TA	Policy Clarification Web-based TA Web-based Training Other

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