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MCIS Training Request

Complete this form to request an MCIS training. We will follow up with you to confirm.
Contact Kristen Lane kristen.lane@state.mn.us or (651) 582-8475 if you need assistance completing this form.

Full Name *This question is required.

Email Address *This question is required.

Phone Number *This question is required.

School/Site Name *This question is required.

Do you want to host an in-person or virtual training? *This question is required.

Full address of Proposed Training Location (city and zip) *This question is required.

Preferred Training Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Secondary Training Date This question requires a valid date format of MM/DD/YYYY.

calendar

Training Session Time Frame (available: 8 a.m. to 4 p.m.) *This question is required.

Space Cell	Start time (e.g. 10 a.m.)	End time (e.g. 1 p.m.)
Training Time	Training Time: Start time (e.g. 10 a.m.)	Training Time: End time (e.g. 1 p.m.)

What would you like training on? *This question is required.

Please enter an 'other' value for this selection.

What version of MCIS are you requesting training for? *This question is required.

Please enter an 'other' value for this selection.

Who would be attending *This question is required.

Is this School/Site Staff Only

Estimated number of attendees: *This question is required.

Any other notes or questions