Target Learning, Inc.
SEMINAR REQUEST FOR SCHOOLS

School Name        

Greek/Club/Team Name     

Your Website         

Contact Person     

E-Mail Address     

Telephone                  Ext.     Fax 

Street Address     

City                            State     Zip  

1.  Please select the topics you want included in your seminar:

Speed Reading
Critical Reading
Critical Thinking
Creative Thinking
Essay Writing
Research Writing
Time Management
Organizational Skills
Listening Skills
Concentration Skills
Memory Improvement Skills
Note-Taking Skills
Study Skills
 

2.  Please list any specific learning objectives your members would like to accomplish.

3.  What learning challenges currently exist that warrant this program?

4.  Please list any special learning requirements, needs or considerations.

5.  What grade levels are expected to attend this seminar? (check all applicable boxes)

Unknown at this time
9th Grade
10th Grade
11th Grade
12th Grade
College Freshman
College Junior
College Sophomore
College Senior
College - Graduate Level

6.  How many students are likely to attend this program?

Unknown at this time
Less than 10
10 to 15
16 to 20
21 to 25
26 to 30
31 to 35
More than 35

7.  Do you have a preferred month for this seminar?

Unknown at this time
January 2009
February 2009
March 2009
April 2009
May 2009
June 2009
July 2009
August 2009
September 2009
October 2009
November 2009
December 2009

8.  Do you have a preferred time of instruction?

Unknown at this time
Morning Session
Afternoon Session
Evening Session
Full Day Session
Weekend Session

9.  Do you prefer a set number of instructional hours?

Unknown at this time
5 hours
6 hours
7 hours
8 hours
9 hours
10 hours
11 hours
12 hours
13 hours
14 hours
15 hours
16 hours
17 hours
18 hours
19 hours
20 hours
More than 20 hours