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
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
Date of Birth
Attendee #2
First Name
Last Name
Date of Birth
Attendee #3
First Name
Last Name
Date of Birth
Attendee #4
First Name
Last Name
Date of Birth
Attendee #5
First Name
Last Name
Date of Birth
Attendee #6
First Name
Last Name
Date of Birth
Attendee #7
First Name
Last Name
Date of Birth
Attendee #8
First Name
Last Name
Date of Birth
Attendee #9
First Name
Last Name
Date of Birth
Attendee #10
First Name
Last Name
Date of Birth
If you need to add more attendees than what is allowed here, please click on the link below and add additional employees on the excel form provided. You will need to save this document to your desktop and then use the “Choose File” link to upload the excel spreadsheet.
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 Anticipated Training Requests must be submitted 10 days before the first day of training, and all signatures completed on
the
Training Agreement
before
the start 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:
Carbon, Emery, and Grand Counties:
customfitprice@usu.edu
San Juan Counties:
ususparc@usu.edu