Training Request Form, MDT2 Center, Clark School of Engineering, University of Maryland

MD T2 Training Request Form

Please use this form to request training. You will not be committed to hosting a class but your request can trigger the process for holding training in your area. Fields marked with an * are required information.

*Required

Personal Information

*Your Name:

Title/Office:

Dept/Division:

*Agency/Company:

*Address:

*City:

*State: *Zip:

*Phone:

Fax:

*Email:

(preferred)

Training Information

Do you want to request a specific class or just inquire about training?

Request a class Inquire about training

We are interested in...

Flagger Certification (4 hours)	Winter Maintenance
Construction Mathematics	Other (Specify subject below)
Introduction to Temporary Traffic Control

Number of people you might have to train in this subject:

Would you be willing to invite participants from other organizations to help
fill the class? Yes No

Do you have a facility in which you can host a class? (e.g. a room with tables and chairs for at least 12 people and ability to control light, noise, temperature) Yes No

Which week would probably be a good time to hold this training?
(Note "ASAP" for next available)

What days of the week and times are generally good for training?

Comments:

After you submit your request, we will contact you with additional information.