MPATTC Project Submissions

Your Name*
Your Email*
Enter Email Confirm Email
Due date:*
When do you want this information posted to the website?
Date Format: MM slash DD slash YYYY
Date
- Post on, or before the above date.
- Post ON the above date, exactly.
For which of the following are you providing information?*
- Event (Includes Meetings, Trainings, and Technical Assistance)
- Product or Resource
- News Announcement

Website Calendar
Would you like this event to be displayed on the event calendar?*
- Yes
- No
Title of Event
What is the name of your event?*
Date & Time
Is this an Ongoing event?*
Example: An online, self paced, course that is accessible at any time is considered "ongoing".
- Yes
- No
If this is an "ongoing" event that does not have a start or end date, consider using the dates of the grant/contract.
Start Date*
Date Format: MM slash DD slash YYYY
Start Time*

HH :

MM
End Date*
Date Format: MM slash DD slash YYYY
End Time*

HH :

MM
Time Zone*
- US/Mountain
- US/Central

Event Description and General Info
Provide a brief description of the event.*
This description will be posted on the MPATTC website. Please write in full sentences and include speaker names here if you would like them in the web promotion.
How many credit hours will this event include?*
Event Leader/Contact Person's Name*
Event Leader/Contact Person's Email*
List any co-sponsors for this event (if applicable.)

SAMHSA Updates
Should this event be included in SAMHSA's bi-monthly update?*
- Yes
- No
SAMHSA's Bi-Monthly Report Relation? (Event)
Please check all that apply:
- Intensive TA Efforts
- Opioid Epidemic
- N/A
Is this event GPRA'd or non-GPRA'd?*
- GPRA
- Non-GPRA

GPRA Request
Contact Person for GPRA Request*
Contact Email Address*
Name of Trainer/Facilitator*
Delivery Method*
- Online
- Face-to-face
Date needed by*
Date GPRAs are needed in hand, not the same as date of training.
Date Format: MM slash DD slash YYYY
To whom will the package be shipped? (name of person)*
Address to ship to*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional person you would like to receive the GPRA link
Please provide email address
Second additional person you would like to receive the GPRA link
Third additional person you would like to receive the GPRA link
Do you need a trainer feedback summary report?*
- Yes
- No

SAMHSA Updates & Website Appearance
Should this product be included in SAMHSA's bi-monthly update? (Product)*
- Yes
- No
SAMHSA's Bi-Monthly Report Relation? (Product)
Please check all that apply:
- Intensive TA Efforts
- Opioid Epidemic
- N/A

Basic News Info
Title of the News Item*
Author
Other Author
Article and/or news item content:*
If there is a link to an external news item, please post that link here.
Would you like to upload a file?*
- Yes
- No
Is this file 508 Compliant?
File must be accessible in order to upload.
- Yes
- No
Upload your file for this News Posting:
You may upload multiple files. Files must be 16MB or smaller.

In addition to having this information posted to the MPATTC Website, do you need to request anything else be done with the information? Please describe your request here, including as many details as possible. Leave blank if none.
For example, do you need a marketing graphic created, or a Mailchimp template?

Website Calendar