Name and email address of person responsible for planning this training. *
Your answer
Name of unit at Rowan OR name of organization/group external to Rowan *
Your answer
Which modules are you requesting? *
Required
When would you like this training to take place? (Either specific dates and times or several options, for example, Mondays at 10 a.m.) We will do our best to accommodate your request. *
Your answer
How many people do you expect to participate? (Please note, we require a minimum of 25 participants for each training.) *
Your answer
Is this training request in response to an incident? *
Your answer
Is there anything specific you would like addressed during this training? *
Your answer
Please add any additional information you would like us to know.
Your answer
A copy of your responses will be emailed to the address you provided.