Virtual Annual Partner Agency Training

Virtual Training Deadline: November 30, 2021
One person per agency will fill out this form; this person must fill in a valid email address for the Virtual Training link. The contact person submitting this form is solely responsible for the completion of this training and sharing it with their Partner Agency.
In order to receive credit for the Virtual Agency Training, ONLY (1) contact person from each agency must submit this form. Please submit your agency information below:
Date of Submission
Effective Date For Changes*
MM slash DD slash YYYY
Agency Number (If Applicable)*

Agency Number (If Applicable)
Agency Name (If Applicable)*

Agency Name (If Applicable)
Main Contact Person
First*

First
Last*

Last
Email For Virtual Agency Training*

Email For Virtual Agency Training
Primary Phone Number*

Primary Phone Number
Comments
Comments
Check the box below to certify the following:*
- I have filled in all required information and I am the sole contact person for this agency. I take responsibility for receiving the training link and passing it along to others amongst my Agency.
- I am the primary contact for this Partner Agency and will relay all content, documentation, etc. to the rest of my Agency.
- I must watch, to completion, Feeding the Valley's Virtual Training and adhere to all policies and procedures stated in this training.

Virtual Training Deadline: November 30, 2021