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Your Name: | |
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Phone: | |
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E-Mail: | |
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1. What type of Personal Learning Program do you prefer? | | |
2. Please select the skills you would like to develop.
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3. Please list any additional learning objectives you would like to accomplish (be specfic, if possible).
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Objective 1: | |
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Objective 2: | |
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Objective 3: | |
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Objective 4: | |
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Objective 5: | |
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4. Please list any special learning requirements, needs or considerations you may have.
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5. What level are you currently employed at? |
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...if "Other", please describe below |
6. What department or field do you currently work in? |
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...if "Other", please describe below |
7. Do you have a preferred month for beginning your personal learning program? | | |
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8. If you selected ON-SITE, do you have a preferred time for the instruction? | | |
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9. If you selected ON-SITE, do you prefer a set number of instructional hours? | | |
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10. If you selected ON-SITE, will you be providing classroom or meeting space for the instructional sessions? | | |
Questions? Call us at:
888-514-5904
Target Learning, Inc.
941 Orange Ave. Unit 231
Coronado, CA 92118
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