Please fill out and fax this form to +207-865-1213 or email it to Phoebe Prosky at:   pprosky@suscom-maine.net.

IFTA TRAINING DIVISION

FACULTY RESOURCE PROGRAM

APPLICATION FORM

We are interested in securing a travel stipend through the Faculty Resource Program of the Training Division of IFTA to bring a trainer to our Program.

Program Name:         

Contact Person:

Address:


Phone:

E-mail:




We will contact you to discuss your needs and the resources we have available.