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 Commission Training Request Form

Today's Date:

Select a date from the calendar.

Name and Title of Person Making the Training Request:

Organization Requesting Training:

Mailing Address:


Alternate Phone:


Topics Requested for Training:

Length of Training:

Preferred Start Time:

Training Date Requested:

Select a date from the calendar.

Alternate Date:

Select a date from the calendar.

Location of Training (Complete Address and Room Number):

Parking Location for Presenter:

Approximate Number You Expect to Attend:

Is the public invited?

Audience Make Up:

Equipment Available at Location:

Specific questions you want presenter to address, or specific provision(s) of Ethics Act you want presenter to focus on:

If you have spoken to anyone at the Commission about training, please indicate who and when:

Please submit this completed form to the WV Ethics Commission,
Attn: Ellen Briggs, 210 Brooks St., Ste. 300, Charleston, WV 25301
or fax it to 304-558-2169.   A member of the Ethics Commission staff will contact you.

If you have any questions, please call Ellen Briggs at 304-558-0664,
or toll-free 1-866-558-0664.