Training Request
Training Request
Clear Fields
DEPARTMENT OF HEALTH AND HUMAN SERVICES
HUMAN SERVICE CENTERS
SFN 574 (12-2023)
PART A
Employee Name Title
Title of Training
Briefly describe the training and specific learning needs that will be met. (Attach brochure) (If requesting out-of-state training, attach
SFN 1775, Authorization for Out-of-State Travel also.)
Budget
Amount
Registration
Meals
Lodging
Mileage - Personal
Other
TOTAL
Funding Source
PART B
Supervisor's Comments and Recommendations
APPROVED
Signature of Regional Director Date
SFN 574 (12-2023)
Page 2 of 2
If training is being requested that will be held out of state, attach SFN 1775, Authorization for Out-of-State Travel.
Part A Fill out the Professional Development/Training Request with description of training, budget, funding source, and
sign, date, and route to supervisor.
Part B 1. Supervisor makes his/her comments and recommendations, signs and dates the form and routes it to the
Regional Director.
2. The Regional Director reviews for approval, signs and dates if approved and returns the request to the originator.
3. The originator sends a copy of the approved request to the Business Office.
4. The original request should be retained by the originator and attached to the Travel Reimbursement Request.
The person originating the request is responsible for making their own lodging reservations and completing the
registration process.