UTRGV-EHS-CCP | Meeting / Training & Technical Assistance Form

UTRGV-EHS-CCP Program

Meeting / Training & Technical Assistance (T&TA) Form

Basics

Meeting Start Time

Meeting End Time

Date of Meeting / T&TA Provided

Requestor of Meeting / T&TA

Individuals in Meeting / Individuals Provided with T&TA

Reason for Meeting / T&TA

Outcome of Meeting / T&TA Provided

Where

Grantee EHS Site Other

How

Telephone In-Person Email Zoom/Teams

Area(s) Requiring T&TA

Check all that apply.

Action	Owner	Due

Follow-Up Needed?

Yes No

Objective

Location

Time

Add each participant who must sign, then capture signatures.

Supervisor Signature

Center Manager Signature

Director Signature

Senior Director of Daily Operation Signature