Juvenile Information Sharing

Use this form to request training and technical assistance from the National Juvenile Information Sharing Initiative — NJISI. NJISI assistance includes: requesting conference speakers, assessing your collaborative juvenile information sharing issues, implementing the OJJDP NJISI model, training on the National Information Exchange Model (NIEM) for technology staff/team members and for Executives /Managers (Executive Briefing), and developing information sharing strategies, assistance with the development of governance structures, communication plans and, development of policies and procedures on privacy and consent practices and assistance with developing measurable outcomes and performance measures for your juvenile information sharing initiative. All fields, except for "fax," are required.

SECTION I—Requestor Information

Requesting Agency/Organization:
Requestor’s Name:
Requestor’s Title:
Address:
Phone:
Fax (not required):
E-Mail Address:
Date(s) TA Is Needed:

SECTION II—Type of TA Request

Indicate Type of Request:

Speaker

Technical Consult

Training

Other
Please Explain:

SECTION III—Description of TA Request

Provide concise and complete information in each section below.

1. Problem Statement: Describe, as specifically as possible, the condition or issue for which the training or technical assistance is requested. If the requesting agency participated in the NJISI Readiness Assessment process, please relate the problem back to the issues raised on the survey

2. Previous Efforts: Have there been any previous attempts to address the condition or issue for which the training or technical assistance is requested? If so, what action(s) were taken and what were the results?

3. Training or Technical Assistance: Describe what type of training or technical assistance you would like to receive. If the requesting agency participated in the NJISI Readiness Assessment process, please relate the problem back to the issues raised on the survey.

4. Target Audience/Recipients: List the intended audience or recipients of the training or technical assistance.

5. Goals and Outcomes: Describe the goals and outcomes you would like to achieve as a result of this training or technical assistance. Include how this will assist you in achieving the goals of specific purpose areas indicated above.

6. Resources: Please describe the specific areas of expertise that would be helpful. What resources does the requesting agency currently have available?

In Cooperation With

Office of Juvenile Justice and Delinquency Prevention

OJP

Office of Justice Programs

NJISI SITES

Click on your state to see
promising sites in your area

QUICK LINKS

Substance Abuse and Mental Health Services Administration

NASCIO – National Association of State Chief Technology Officers

National Council of Juvenile and Family Court Judges

©2009, 2011, 2012 by Center for Network Development/National Juvenile Information Sharing Initiative. All rights reserved. No part of any document may be reproduced
or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission of CND/NJISI.
This website was prepared by the Center for Network Development, and supported by grant numbers 2007-JF-FX-K053/2009-MU-FX-K101
from the Office of Juvenile Justice and Delinquency Prevention, Office of Justice Programs, U.S. Department of Justice.
Points of view or opinions expressed in this website are those of the authors and do not necessarily represent the official positions or policies of OJJDP or the U.S. Department of Justice.