Corporate Learning Solutions Request Form

* Required Fields

Please fill out completely.

Determining your training needs
The questions below will help us to better meet your needs and prepare a customized information packet:

How many people are employed at your site?

Number of people to attend training: *

Training audience composition (list percentage)

 % Engineers
 % Other (please list):
 

Timeframe when you want the training to take place (month/year):

List the training topic or course title you are interested in or select from the categories below:

Training Topic/Course Title: *

Topic(s) that are of interest (select all that apply):
Design Process/Techniques
Electronics
Engines
Fuels Lubricants
Maintenance
Management
Manufacturing
Materials
Noise/Pressure/Vibration
Parts/Components
Quality
Reliability
Safety
Vehicle Dynamics/Stability
Other:

Name of individual responsible for your training budget (if other than you):

How did you hear about Corporate Learning Solutions?

Contact information:

Customer Number:
Name: *
Title:
Company: *
Division:
Street: *
City: *
State/Province: *
Country: *
Postal Code: *
Business Phone: *
Home Phone:
Fax Number:
Email: *