Training and Reimbursement Request
Company Information
Don't see your company below? Click here to fill out the company application.
Company Name
Contact First Name
Contact Last Name
Email Address
Phone Number
Training Information
Name of Training / Course
Training/Course Content
Please select...
Manufacturing
Healthcare
Construction
Finance
Other Technical Skills
Occupational Health/Safety
Customer/Market Development
Organization Development
Other
If "Other" is chosen, please explain:
Trainer Company Name
Training/Trainer Website
Trainer/Instructor Full Name
Trainer Email Address
Trainer Phone Number
Total Cost Amount
Location of Class
Start Date
Start Time
End Date
End Time
Total Course Hours
Total Number of Employees attending
Attendee #1
(upload an employee list below for more than 10 attendees)
First Name
Last Name
Attendee #2
First Name
Last Name
Attendee #3
First Name
Last Name
Attendee #4
First Name
Last Name
Attendee #5
First Name
Last Name
Attendee #6
First Name
Last Name
Attendee #7
First Name
Last Name
Attendee #8
First Name
Last Name
Attendee #9
First Name
Last Name
Attendee #10
First Name
Last Name
Please upload a list of employees attending. (Date of Birth not required)
Click here to download preferred employee registration template
Purpose of Training
Expansion
Retention
Has the company already paid the vendor?
Yes
No
Upload Attachment (Brochure of Training, Receipt/Invoice/PO#)
*
All reimbursement requests must be submitted prior to the first day of the training
Additional Comments/Info
Your request will be processed by a member of the Custom Fit training Team and if it is approved, we will email you a Custom Fit Training Agreement. Funds are not assigned to your company until the signed agreement is received back in our office. If you have any questions please email Custom Fit at chad.buttars@davistech.edu.