Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Participant's Name *FirstLastParticipant's Email *TitleParticipant's License/Certification #PresenterParticipant's AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePLEASE RATE THIS SEMINAR IDEAS AND INFORMATION PRESENTEDAbove Average (3)Average (2)Below Average (1)LEVEL OF INTERESTAbove Average (3)Average (2)Below Average (1) A YOU WILL OPPORTUNITY TO LEARN NEW SKILLSAbove Average (3)Average (2)Below Average (1)APPLICATION TO YOUR WORKAbove Average (3)Average (2)Below Average (1)MET EDUCATION OBJECTIVESAbove Average (3)Average (2)Below Average (1)PLEASE RATE THIS PRESENTERLEVEL OF KNOWLEDGE/EXPERTISEAbove Average (3)Average (2)Below Average (1)ABILITY TO PRESENT MATERIALS IN AN INTERESTING MANNERAbove Average (3)Average (2)Below Average (1)ABILITY TO PRESENT MATERIALS IN A PRACTICAL AND RELEVANT MANNERAbove Average (3)Average (2)Below Average (1)IF TOMORROW A CO-WORKER ASKS YOU WHAT YOU LEARNED, WHAT WILL BE THE TWO POINTS YOU WILL SHARE WITH THEM?WHAT ARE TWO THINGS YOU ARE WILLING TO DO AS A RESULT OF THIS WORKSHOP?WOULD YOU RECOMMEND THIS TRAINING TO YOUR COLLEAGUES?YesNoOTHER COMMENTSPLEASE LIST SPECIFIC SUGGESTIONS FOR FUTURE TRAININGSSubmit
