NYS Governor's Office of Employee Relations

Agency PSWP Liaison Workshop Request

PSWP workshops are tailored to the diverse professional development needs of PS&T Unit employees and aligned with New York State agency goals. The PSWP Liaison serves as the agency’s primary contact with PSWP. Please use this form to request the development of a workshop.

Agency requests for workshops will be evaluated by the PSWP Advisory Committee, which is comprised of representatives from GOER and PEF.  The committee will review requests at meetings that are held every three to four weeks.  The review process generally takes at least two months and may take longer depending on the type of request and associated cost. Please plan accordingly because the committee must make a final determination before any requests can be approved.

NOTE: Please complete one form for each offering;
i.e., if requesting delivery at two locations, complete one request for each.

Liaison Name

Title

Reviewed and Approved

Agency

Street

City

Zip

E-mail

Work Phone

If there is a subject matter contact for this workshop, please complete the following section.

Reviewed and Approved

Name

Title

Agency

Facility

Street

City

Zip

Work Phone

E-mail

What is your suggested workshop title?

What level of customization would you prefer?

a) None (provide just like open enrollment)
b) Some/minimal (use relevant case studies or data sets only)
c) More/moderate (some minor curriculum revision)
d) Most/high (highly customized, requires curriculum sign-off and additional PSWP Curriculum Revision form)

Note: If you check b, c, or d—you must have Subject Matter Contact listed above.

Also, this Curriculum Customization form must be used when selecting option “d” indicating most/high for level of customization. You can download a Printable PDF form or Word Document and fax or mail it to us. Use this form ONLY when selecting option “d” for level of customization.

Where would you like this workshop to be delivered, including city and facility? If the request is for delivery on-site, please describe the training room and available A/V equipment.

What is the need for this workshop and how did you identify this need?

How will this workshop benefit your PS&T Unit employees and your agency?

What will your agency do to support this workshop (e.g., provide training space)?

How many PS&T Unit employees will attend this workshop and what are their job titles?

Which job titles require Continuing Education Units (CEUs) and what type of CEUs are required (e.g., CLEs, PDHs, etc.)?

What is your preferred timeframe for scheduling this workshop?

Do you have any other comments you'd like to make on this workshop?

If you prefer, you can download a printable PDF form or Word Document and fax or mail it to us.

Mail:
Professional Development Program
Rockefeller College
University at Albany
University Administration Building,
Room 400
1400 Washington Ave.
Albany, NY 12222

Fax:
(518) 956-7931