Name

Job Title

No. of Years in Managerial Role(s)

Email

Phone Number

What areas of managerial skills would you like to focus on?

Select all that apply:

• Leadership Development

• Effective Communication

• Conflict Resolution

• Time Management

• Decision Making

Preferred Training Format

• In-person

• Online/Virtual

• Hybrid

Preferred Time Slot

• Morning

• Afternoon

• Evening

• Flexible

Additional Notes