This form was developed for your convenience in reporting outside training credit for county commissioners to The University of Tennessee’s County Technical Assistance Service (CTAS). Submission of this form does not imply automatic acceptance of an educational program. CTAS will notify you if the submission does or does not meet our training criteria. Instructions Complete this form in its entirety. All fields are required. REQUIRED: You must attach a copy of the program brochure, outline, and/or agenda. Acceptable Documentation Examples: Certificate of Completion/Attendance Program or agenda Receipt of registration fee payment Confirmation email of registration Course handout Copy of course PowerPoint presentation Submit this form and required supporting documentation. Your Information Name County Phone Number Email Request Information Fiscal Year Outside training credit request for fiscal year Sponsoring Organization Number of Instructional Hours Program Dates Program Location Title of Program (Title of conference, workshop, meeting, class, or event) Instructor/Presenter Program Contact Name Program Contact Phone Description of Activity, Content, and/or Event Attachment Please attach your documentation.One file only.50 MB limit.Allowed types: jpg, jpeg, png, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. PrintPDF