Sethu Workshop &Training Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete the following request form and submit it at least one month in advance of the requested event date. Please check the charges for the training. Xerox copies of handouts are to be made by the organizer. Laptop/computer and LCD projector should be available.

Email *

Name of the Institute *

Type of Institute *

School

College

Institute

college

NGO

Other:

Name of the Person Responsible for Organizing Workshop/webinar *

Name and Address of Institute with pincode *

Contact No. of Institute *

Location (Address) of training with landmarks. *

Type of training *

Workshop- for Faculty

Lecture- For Parents

Other:

Type of group *

Student group

•Staff / faculty group

Parent group

Other:

Issues and concerns that you would like us to address during the training

Date of Workshop / Lecture *

YYYY

PROGRAM / TRAINING / WORKSHOP PREFERENCE *

Full Day (9:30 am – 4:30 pm)

Half-Day, Morning (9:30 am – 12.30 pm)

Half-Day, Afternoon (2:00 pm – 5:00 pm)

1.5 hours online webinar (10 - 11.30 am)

1.5 hours online webinar (3 - 4.30 pm)

Other:

Language lectures or workshops to be conducted in *

English

Hindi

Konkani

No. of people / students / parents expected to attend *

How did you hear about us? *

Website

Word of mouth

Through the Sethu center

Other:

Please provide any additional information that you feel would be helpful for us to know. *

Please NOTE

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Sethu. Report Abuse

Forms