Infrared Training Center Host Application
Facility Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Can we ship class Assets/Supplies to this address?
*
Please Select
YES
NO**
If No please provide Shipping address below
Shipping Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nearest Major Airport (and Aprox. Distance from airport)
*
Desired Course to Host
*
Level I Thermography
Level II Thermography
Level I Electrical Thermography
Level II Electrical Thermography
Optical Gas Imaging
Level I sUAS Thermography**Specific site requirements must be met
Level II sUAS Thermography **Specific site requirements must be met
Level III Master Thermography
Level I Furnace Inspections
Level I Building Investigations
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Student Capacity of training space
*
Is Training Space > 1000 Square Feet
Please Select
YES
NO
WiFi Available
*
Please Select
YES
NO
Projector Screen or HDMI Monitor Available?
*
Please Select
YES
NO
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On Site Contact Name
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email
*
example@example.com
Alternate Contact Name
First Name
Last Name
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email
example@example.com
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Do you have site receiving requirement?
*
Please Select
YES*
NO
If yes , please provide details below
Details
Are there any Special security requirements for your site? i.e. Identification, PPE, Safety, or other applicable visitor criteria
*
Please Select
YES*
NO
If YES, Please provide details below
Special security requirements for your site
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