COURSE SCHEDULING THANK YOU FOR CHOOSING DEL AS YOUR NEXT PROFESSIONAL DEVELOPMENT FACILITATOR THIS FORM IS FOR CLIENTS WHO WE HAVE CONFIRMED A COURSE WITH. PLEASE COMPLETE THE FORM IN ACCORDANCE WITH THE NEGOTIATED INFORMATION PROVIDED VIA THE EMAIL CORRESPONDENCES. Agency / Organization * Location Building Name * Location Full Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Agency Contact Person * Please provide the name of the contact person for the training First Name Last Name Agency Contact Phone # * (###) ### #### Agency Contact Email * Presentations In Person or Virtual? * In Person Virtual Date * MM DD YYYY Course Name * Workplace Harassment Prevention For General Employees Workplace Harassment Prevention For Supervisors & Local Agency Officials Team Building / Team Communication Cultural Diversity and Implicit Bias Training Workplace Violence Awareness & Assessment Emotional Intelligence Organizational Leadership - Ethics Values & Culture Stress Management Strategic Communication De-Escalation Techniques Other (Specify in comments) Other (Specify in comments) Start Time * Hour Minute Second AM PM End Time * Hour Minute Second AM PM Number of Attendees * If number is unknown, please provide approximate. Same Day Additional Courses Second Course Name Workplace Harassment Prevention For General Employees Workplace Harassment Prevention For Supervisors & Local Agency Officials Team Building / Team Communication Cultural Diversity and Implicit Bias Workplace Violence Awareness & Assessment Emotional Intelligence Organizational Leadership - Ethics, Values, Culture Stress Management Strategic Communication De-Escalation Techniques Second Course Start Time Hour Minute Second AM PM Second Course End Time Hour Minute Second AM PM Number of Attendees If number is unknown, please provide approximate. Additional Comments Thank you for completing this form. An email confirmation will be sent to you within 1 to 3 business days.
