Training Request

Please complete the form below to request a training program or individual training class. Once we have your information, our Contract Education Manager will contact you within two business days to discuss your request.

Organization:
Website:
Name:
Phone:
Email:

1. Please list your training objectives.

Objective #1
Objective #2
Objective #3
Objective #4
Objective #5
Objective #6
Objective #7
Objective #8

2. Describe what problems/issues exist that warrant this training.

3. Where would you like the training to take place?

   Indian Wells Valley Campus (Ridgecrest)
   Kern River Valley Campus (Lake Isabella)
   South Kern Campus (California City / Edwards AFB)
   Eastern Sierra College Center (Bishop)
   Eastern Sierra College Center (Mammoth Lakes)
   Unknown at this time

If you would like to have the training held on-site at your organization, or at another location, please list the address below.

4. How many employees are likely to attend this training?

   5 to 10
   11 to 15
   16 to 20
   21 to 25
   26 to 30
   31 or more
   Unknown at this time

5. Do you have a preferred month for this training?

   April 2012
   May 2012
   June 2012
   July 2012
   August 2012
   September 2012
   October 2012
   November 2012
   December 2012
   Unknown at this time

If you know exactly when you would like to have the training, please list the dates and times below.

6. Do you have a preferred number of instructional hours?

   2 Hours
   3 Hours
   4 Hours
   5 Hours
   6 Hours
   7 Hours
   8 Hours
   9 Hours
   10 Hours
   11 Hours
   12 Hours or more
   Unknown at this time

7. Do you have a maximum amount of funds for this training?

   $2,000
   $3,000
   $4,000
   $5,000
   $6,000
   $7,000
   $8,000
   $9,000
   $10,000 or more
   Unknown at this time

Questions? Contact us:

Office of Contract Education
3000 College Heights Blvd.
Ridgecrest, CA 93555

Office: (760) 384-6106
Fax: (760) 375-4776

training@cerrocoso.edu