Customized Group Professional Development Inquiry Form

Please fill out this form at least one month before your scheduled or intended training date(s). If you have any questions please email V esna Krcmar or contact her at 604-709-5661 ext. 279

Contact Information

Contact Name Required

Phone Required

Email Required

Organization Name

Organization Address

Training Information

Address (where training will take place) Required

Training Title / Topics Required

Training Length Required

Training Dates Required

Training Start Time Required

Target Participants

Number of Participants

Additional Information

Equipment Available for Facilitator use (please select all that apply): Required

Projector

Speakers

Whiteboard/Flipchart

Markers

Internet

Display Table

Extension Cord

Laptop/Computer

Parking Information at your location Required

Comments:

Westcoast Child Care Resource Centre

Inspiring & Promoting Excellence in Child Care & Early Learning

Customized Group Professional Development Inquiry Form