AIAQTP Trainings

Online Training Application Form
Please complete the form clearly and carefully. Applications must be approved by ITEP in order to be accepted to attend the course.

* Required fields.

Please select the course (One course per application).

Application date: June 2, 2020
This course requires a computer with a good internet connection. Cohort max: 20

Please insert your State using two (2) letter abbreviation.

Required for last minute contact – if no cell phone, please list home phone.

Re-enter your email.
Emergency contact First and Last Name:

Emergency contact Phone Number:
Job description/duties

Do you have a college degree?

OTHER: Field of study or technical training (please limit to two or three words):

How would you rate your overall computer skills?

What air quality concerns does your tribe/community currently face?

How will your tribe/community benefit from you attending this course?

What PRIOR specific experience and/or training do you have related to the course topics?

What do YOU hope to take away from this course?

Does your tribe currently have an air quality program?
NOTE: That it is not required to be eligible to participate.

Would you like to be added to the ITEP’s email list for the quarterly Native Voices Newsletter?

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Course Travel & Cancellation Policy

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Attendee Expectation Policy

ITEP takes photos of course-related activities for use in presentations, web pages, brochures, and other materials in order to promote ITEP programs. Please check the appropriate box below:

Will you need a Travel Scholarship?

Electronic Signature:

Supervisor First & Last Name:
Supervisor Title:
Supervisor Email:
Supervisor Phone:

For more information, please contact:
Christal Black, Program Coordinator Sr.

If you experience technical difficulites with this form, please contact ITEP Website Administrator at 928/523-1326 or email at