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TRAINING & COACHING REQUEST FORM
Please provide details below regarding your request. We will respond within two business days. NOTE: Dr. Norman Eng reserves the right to decline any request due to scheduling and/or client fit.
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Email
*
Your email
Which service are you interested in?
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Talk / Presentation (approx. 1.5 hours)
Hands-On Faculty Workshop (approx. half day or 4 hours)
Either of the above, depending
1-on-1 Coaching Call
Name (first and last)
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Your answer
Job Title / Department
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Your answer
Affiliation
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Your answer
Phone Number (or Skype ID)
Your answer
Anticipated DATE/TIME of talk/workshop (for 1-on-1, when would you prefer to begin?)
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Your answer
Describe the nature of your request. Please be as specific as possible.
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Your answer
Are there any unique circumstances or requests I should be aware of? Describe.
Your answer
For 1-on-1 coaching, what is your level of instruction? Describe. (e.g., never taught before, have taught for 1-2 years)
Your answer
For 1-on-1 coaching, what are your expectations?
Your answer
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