Company Name *
Primary Contact*
Primary Phone No. *
Primary Email *
Secondary Contact
Secondary Phone No.
Secondary Email
Technical Contact
Technical Phone No.
Technical Email
Street Address/Suite
City
State
Zip
Course Name
Dates (MM/DD/YYYY)
Course Length days
Class Hours
No. of Students
Lunch Hours
Security Requirements and Check In Procedures
Where to check in?
What ID is required?
Will they need to obtain a badge? YESNO
Do they require an escort? YESNO
Parking Location and Procedures:
Address for Books/Equipment Delivery (including contact):
Number of PC’s:
Type of PC’s:
Classroom Shape
Is the classroom networked? YESNO
Does the classroom have a whiteboard? YESNO
Will the classroom be opened at least 30 min. prior to the class?YESNO
Are students allowed to eat or drink in the classroom? YESNO
Is there internet access in the classroom?YESNO
Evaluations OnlinePaper
Does the classroom have a display system (projector)? YESNO
If yes, what type?
End of Class Directions – for example, PC shut-down, classroom lockup, etc.
* Required Fields
