RehabWorks - Educational Outreach Request

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Educational Outreach Request

Due to the high volume of requests that we receive for training and the need to schedule those training sessions between patient appointments, we ask that there be a minimum of 15 attendees, and that the training be scheduled on a Tuesday or a Thursday. Please submit request at least 2 weeks prior to requested event.

Requested By:	Organization:
Phone:	Fax:
Email:
Requested training topic: (Back at Work, CTS Prevention, Workstation Microbreaks, Injury Prevention, etc.)
Type of work group being trained: (ex. Ground ops, secretarial, techs, etc.)
Length of Presentation: min	Number of attendees:
Requested training date: / /	Time:
Training Location(building/room number):
Can you provide a computer and projector for CD-ROM PowerPoint presentation?
Is this training being used to satisfy training or meeting requirements? If so, please describe:

The RehabWorks staff does not have access to all areas of KSC and if necessary, will need you to arrange for a TAA on the day of training.

	+ Freedom of Information Act + NASA Privacy Statement, Disclaimer, and Accessibility Certification		Editor: Erik Nason NASA Official: David A. Tipton Last Updated: July 27, 2007