Corporate Education Information Request Form

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Request For Information Form

Thank you for your interest in the College of Continuing Education's professional development programs. We look forward to working with you to provide your employees with the educational programs they need to make your organization successful.

To request information please fill out the following form and press "SUBMIT." After you verify your information, press "SEND REQUEST." You will receive an e-mail confirmation of your request.

If you have any questions while completing this form or wish to speak with us about our professional development programs or contract professional education please call 612-624-1228 or e-mail us at ccebusn@umn.edu.

First Name:*	Last Name:*	*Required fields
Organization:*
Title:*
Department:*
Street Address:*
City:*	State/Province: *	Zip:*
Country:

Phone Number:*	Fax Number:
E-mail Address:*
Type of education program needed:
Educational objectives:
Number of employees to be trained:
When do you anticipate needing this training?:
Additional information:
How did you hear about the College of Continuing Education?*

Last modified: March 19, 2008

For more information call 612-624-4000.