Professional Development Program

Consultation Planning Worksheet

The person who is responsible for implementing the training/development program should complete this form. This information will be used to prepare a customized program relevant for your staff. If a question/statement does not apply, please state "NA".

Please mail or fax this form at least four weeks before a session is desired to:

University Human Resources Professional Development Program

ASB II, Cook Campus

FAX: 732-932-0046

Email: .

PROGRAM PURPOSE

Program can be a workshop, training session, retreat, seminar, etc.

What is the overall purpose of the program?

Why is the program being offered? Is it part of a larger program?

Has the program, or a similar program, been offered in the past?

No

Yes

If “yes”, please explain:

What type of program is desired: (select all that apply)

 Skill-based training

Planning facilitation

Team development

Lecturette/information sharing

 Other:


PROGRAM AUDIENCE

Who are the participants attending the program (select all that apply):

Vice President/ Provost

 Dean/Director/Department Head

Mid Level Manager

Trade/Skilled

Support/Administrative Staff

Faculty Member

Front Line Manager/Staff

 IT Professionals

Student employees

 Other:

Please describe in more detail the participants (e.g. unit affiliation, position titles, relationship with other group members):

Do the participants have an existing relationship with each other?

No

Yes

If ‘yes”, please explain:

How many participants will be at the program?

PROGRAM LOGISTICS:

What is the time frame for the customized program you are requesting? (Excluding meals, breaks, check-in, etc)?

Program/Workshop Start Time: am pm End Time: am pm

Location: Building: Room: Campus:


PROGRAM LOGISTICS (continued):

How many rooms will be made available for the program?

1

2-3

3+

What room arrangement will be set for the program?

 “Classroom” style with chairs and tables

Banquet style

 Lecture style

“U” style with tables and chairs

Other:

What audio/visual/technical equipment can be made available for the program?

Overhead projector

 Microphone

Data projection unit

 TV/VCR

Data ports

Other:

ADDITIONAL INFORMATION

Please provide any other additional information that might be pertinent to the development of the program:

University Human Resources

57 U.S. Highway 1 · New Brunswick, NJ 08901-8554

848-932-3020 · FAX 732-932-0046 · uhr.rutgers.edu