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Training Program Title: ____________________________________________________________ Date(s) and course length: ___________________________________________________________ Training Location(s): ________________________________________________________________ _______________________________________________________________________________ Group Size: Maximum _____ Minimum _____ Description of Course: _____________________________________________________________ _______________________________________________________________________________ Instructor(s): ____________________________________________________________________ Program Contact: _________________________________________________________________ Phone (____) - ____ - ________ Fax (____) - ____ - ________ E-mail: ________________________ Training Format (Check all that apply) On-the-Ground (___Classroom ( ___Correspondence (___Internet (___Self-Taught
(___Site Arranged to Meet Need (___Standard Course ( ___Customized to Need (___Scheduled by Demand Target Audience: _________________________________________________________________ _______________________________________________________________________________ Deadline to Register: _____________________________________________________________ _______________________________________________________________________________ Credit: __________________________________________________________________________ Certification: ______________________________________________________________________ Qualification on Completion: __________________________________________________________ Prerequisites: ______________________________________________________________________ Specific Training Site or Material Needs: __________________________________________________ _________________________________________________________________________________ Internet Links, Past Courses, or Photos:_________________________________________________ _________________________________________________________________________________ Key Related Information or Reading Available:_____________________________________________
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Updated March 25, 2007
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