The key contact should fill out this form; this is the person who is able/responsible for signing the Service Agreement and managing program payment.

First Name

Last Name

Job Title

Group or Company Name

Email

Primary Phone

Tell us about your group:

Why types of projects is your group involved in? Are they community focused or external to the community?

Do you have any environmental concerns in your territory?

Have you or members from this group participated in NRTG training previously?

Yes

No

Please Provide Details

Training Needs:

Please summarize your training goals. We can customize deliveries to meet your unique training needs.

Please select the program(s) of interest.

Please summarize the specific skills program students would like to focus on:

Describe your expectations for students once they have graduated from the training program:

Planning Details:

How many students would attend the training program?

Preferred delivery method?

Online self-paced

Online “live” (e.g. Zoom)

In-person

Blended (online and in-person)

Location

Can you provide a training venue with suitable lighting, seating, washrooms, and secure equipment storage?

Yes

No

Do the potential students have transportation to get to/from field locations?

Yes

No

What is your ideal timeframe for completing the training program?

Select at least 2 months.

Would you consent to run the program on the statutory holiday or would you like to opt out of training on the statutory holiday and continue with a lengthened schedule?

Please note it will increase travel fees for in-person deliveries. (The LGP course runs for 5 weeks so there will always be a statutory holiday within the delivery.)

Do you have funding in place?

Yes

No

Please note, NRTG offers complimentary proposal writing services for students and groups seeking educational grants to access our programs.

Do you require assistance with a funding application?

Yes

No

If applicable, please list previous funding sources your group has accessed for training.

Do you have a request for customizing the course content?

Yes

No

We can customize course content to include more of a topic that may interest you.

Would you like to have your elders speak about land regulations?

Yes

No

Do your students require assistance in sourcing appropriate personal protective or field equipment for the program?

Yes

No

Do you require assistance with advertising this course to the community (or larger audience)?

Yes

No

Private Delivery Intake Form

Tell us about your group:

Training Needs:

Planning Details: