Private Training Request

Private Training Request
Company Name:
Contact Person:
Email:
Phone:
Please submit one request form for each course you would like to hold.
Course Name:
Timeframe for Course Delivery: (Please provide a 2-4-week range of dates of when you would like this course)
Earliest Date

MonthDayYear
Date
Latest Date

MonthDayYear
Date
CSAM to Provide Training Room?

YesNo
Which location would you like to use?

Winnipeg office (1447 Waverley Street)Brandon office (950 10th Street)
Please specify the location of training.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please identify training equipment available at your location:

ProjectorLaptopScreenSpeakersOther
Will morning snacks/coffee and lunch (in case of a full day training) be provided?

YesNo
Please provide a description of the training space (construction site, access to power, washroom and hand washing facilities, heat/air conditioning)
Required PPE onsite?

YesNo
Please list the required PPE
Site orientation required?

YesNo
Other site requirements (e.g. parking)
Estimated Number of Participants:
Number of participants needs to be between 10 and 24
Should be Empty: