Target Learning
REQUEST FOR A SCHOOL-BASED PROGRAM

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
September 2010
October 2010
November 2010
December 2010
January 2011
February 2011
March 2011
April 2011
May 2011
June 2011
July 2011
August 2011

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

Yes
No
Unknown at this time

Questions?

Target Learning
941 Orange Avenue, # 231
Coronado, CA 92118
888-514-5904

info@targetlearning.net