Thank you for your interest in targeted technical assistance from the MiMTSS Technical Assistance Center. Please answer the questions below and submit by December 4th, 2020 at 5:00 PM Eastern Time Zone.
The online system does not accept tables or other formatting (i.e., bold, underline, italics, paragraph spacing).
You can save progress and return to the form at a later time. The button to do this is located at the top of each page. Note that any information entered on a single page can only be saved upon clicking Next first. When you click on "Save and Continue Survey Later," you will be prompted to enter your email address. The system will then send you a specific link to use to access your saved results.
When you click submit at the end of this form, your responses will immediately be sent to the MiMTSS Technical Assistance Center. The primary contact will also receive an email from SurveyGizmo with a copy of the completed form attached.
If you have questions about the application process, please contact:
- Kim St. Martin (Assistant Director) for questions about potential participation at kstmartin@mimtss.org (269-492-8434).
- Cheyne LeVesseur (Research and Evaluation Specialist) for questions about the online form at clevesseur@mimtss.org (248-425-8931).