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MCIS Training Request

To request MCIS training at your site, please complete the below form questions. We will contact you to confirm your registration.

For assistance with this form, contact Kristen Lane at kristen.lane@state.mn.us or (651) 582-8475.

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