Training Request Form

• Complete and submit this form online, or
• Complete and print this form, then fax it to us at (888) 710-8336, or
• Phone in your training request to (301)396-4432

Note:   If you are uncomfortable making your training request online, please fax us your information or call us with your request.

All information will be held in the strictest confidence. We will not release your information to a third party without your expressed permission.

Name:     (required)
Email address:                     (required)
Title:
Type of Business:
Business/Organization:
Address:
City:
State or Province:
Zip Code:
Country:
Phone:
Fax (optional):
How you found out about us:

Please mark the training programs you need or are most interested in:

Consideration of Others Creativity/Innovation/Motivation Equal Employment Opportunity Equal Opportunity Harassment Free Environment Prevention of Sexual Harassment   Personal Development Train the Trainer Video Training Program

Change Management Communication Diversity Facilitation Interpersonal Skills   Leadership Management Team Building Other

I would like to schedule a training needs assessment interview:
      By Phone                 In person (Metropolitan Washington D.C. area)
      Date:       Time:

The person in my organization who purchases training/human  
resources services: 
      Name:  
      Title:      
      Phone - include area code   (required): 

We are interested in scheduling a course:                                 

Course Name:

When would you want training?   (e.g. month)

How many individuals would you like trained?

What are the levels of the individuals to be trained?           (e.g. executives, managers, supervisors, employees, etc...)

How long do you want the training to last?             (e.g. 2, 4, 6, 8 hours)

We would like the training conducted:       On-Site       Off-Site  (we will select)       Off-Site  (arrangements made by the Lee Johnson Group)

We are interested in consulting services:       Human Relations Development       Equal Opportunity  (Specializing in Military EO Programs)       International Equal Opportunity       Interpersonal Skill Development

Comments:


Thank you for your Training Request.
Send your request or choose reset to clear the screen.

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