Training or Technical Assistance Report Form


Have you recently conducted an ICJ Training? Did you receive Training or Technical Assistance? Report your training data directly to the National Office using the form below. If you have additional attachments that you would like to submit, please send these files to the National Office.


Please enter your first name.
Please enter your last name.
Please enter your agency or department.
Please select your Commission title or role.
Please enter the city where the training occurred.
Please enter your state.
Please indicate the date the training occurred. If you have multiple dates to report, please submit additional reports.
Please indicate the topics covered in the training. Press the shift button on the keyboard to select multiple topics.
Please enter how many people were trained.
Please indicate the training audience. Press the shift button on the keyboard to select multiple options.
Please enter the location of the training.
Please enter the number of hours for the reported training.
Please enter any additional comments here.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.