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COURSE REQUEST

If there is a course that you would like to attend that is not on our schedule please fill out the Request a Course Form.

If we get a certain # of requests for a given course then we will make it happen!

We want your imput so that we can make sure we are meeting our prospective students' needs also.

Once we have received your contact form we will get back if we need more information, and to let you know if we have others who are interested too.

We Look Forward To Hearing From You!




REQUEST A COURSE:


NAME:

EMAIL:

TELEPHONE:

WHAT IS THE BEST WAY TO CONTACT YOU?

WHAT COURSE WOULD YOU LIKE TO REQUEST?


WHEN WOULD YOU LIKE THE COURSE TO MEET?
Please indicate Day, Evening, or Either.

ON A SCALE OF 1-5 HOW INTERESTED ARE YOU IN TAKING SAID COURSE?
(1 being somewhat interested & 5 being very interested.)
1
2
3
4
5
HOW SOON WOULD YOU LIKE TO TAKE THIS COURSE?
(ie: In 1-2 Months, Within a Year)

YOUR ADDITIONAL COMMENTS:






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