Customized Training Request Form

Customized Training Request Form

CCC Workforce Training wants to work with you to meet your workforce development needs. Our courses and programs are customizable to fit the training needs of your employees. Please complete this form so we have a better idea of how we can partner. If you have questions, contact CCC2Community@coconino.edu or 928-226-4254. Upon submission of this form, someone will get in touch with you as soon as possible to go over your training needs. We look forward to working with you!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Job/Position Title*
Business/Organization*
If there are other people who should be contacted about this training, please type out their name, email address, phone number, and title.
The Need

Please help us understand the need in your business and in the community.
Below are some of our current "ready-to-go" courses. Please select courses that you may want to add to your training.

Commercial Drivers License (CDL) (4 week course)Computer SkillsCustomer ServiceEmotional IntelligenceFirst Aid & CPRLeadership DevelopmentMaintenance Technician (6 week course)OSHA 10 - General Industry and ConstructionTour Guide Training
Describe the training needs you have. Please be specific in your description.
The Details

Please provide as much information as you can on how and when the training will take place.
About how many people would participate in the training?
What is your preference for location and modality?

At your businessA Coconino Community College locationVirtual (i.e. Zoom)Hybrid (partially in-person and partially virtual)Online (self-paced)UnsureOther
Select the best days of the week for training.

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Select the best timing options for your needs.

MorningsMid-day (Lunch time)AfternoonsEveningsFull Days (i.e. 9am - 3pm)UnsureOther
How would payment for these courses be made?

Billing/InvoiceCompany pays via credit cardCompany pays via checkParticipants register and pay for themselvesUnsureOther
Is there anything else you want to share with us?
Should be Empty:

Customized Training Request Form

The Need

The Details