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Learning & Organizational Development Service Request

Thank you for your interest in receiving educational services and/or professional development from our Learning and Organizational Development (L&OD) team.   

Provide as many details as possible, so we may evaluate your educational needs.  If you have questions regarding the form, contact us at .


Information related to your organizational role and location.
Details related to your goals for this educational experience.
Target Audience
Participant demographics and dynamics.
Results Metrics
How you will measure and sustain your desired change goal?
If we can meet your need, what are your preferred time frame, location, and facilitator (if applicable). Specific date requests cannot be guaranteed, however, they can be noted in the location field.
Preferred Quarter  

Preferred Facilitator

After the submission of this form, our team will review the details of your request and provide you with a response and next steps within seven (7) business days or less.

Best regards,

Your UVAMC Learning and Organizational Development team

ASPIRE!   Accountability | Stewardship | Professionalism | Integrity | Respect | Excellence