NMPSIA support is now available year-round! If you would like NMPSIA to present for Orientations, and Health Fairs or you want training for yourself or your staff, simply complete this survey.

The year is quickly filling up! Please submit your request 6 weeks in advance to ensure a successful planning phase. Once the request is received, NMPSIA will review and do our best to accommodate your request.

If you are requesting multiple events,
please complete the survey for each event separately.

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* 2. Full Name of Contact Person (First Name, Last Name)

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* 3. Contact Email Address

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* 4. Contact Phone Number

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* 5. Have you viewed the trainings and tutorials on the NMPSIA website? (These are a great resource, we recommend you view these on your own prior to submitting a training request)

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* 6. Please provide the date of your event. Consider using dedicated time slots in your district's In-Service days. This is a great way to capture majority of your population with a single event. (NMPSIA/Erisa staff will not be available the first week and the last week of the month, due to Board meetings and end of month processing.)

Date

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* 7. What time will NMPSIA be presenting?

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* 8. What type of support are you requesting? (If you wish to book more than one event, respond to the survey in its entirety then reload the link to add another survey entry.)

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* 9. NMPSIA will accommodate requests for In-Person and/or Virtual events. Please tell us the type of event you will be hosting.

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* 10. For in-person events, NMPSIA requires a commitment for at least 50% of your enrolled population to attend. Please acknowledge if your group will comply with this request.

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* 11. If you selected "in-person", would you like our Carriers to attend? (Commitment of carriers is contingent on the number of employees expected to attend)

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* 12. If you selected "in-person", please provide the address of the venue where the presentation will be held.

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* 13. NMPSIA presentations are approximately 1 hour with time for Q&A. Please acknowledge your group's willingness to allow this time to be reserved on the agenda for NMPSIA.

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* 14. Who will be attending your event?

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* 15. To assist us in preparing materials, please let us know how many attendees we can expect.

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* 16. Do you have specific topics or concerns you would like us to focus on?