Deaf Cultural Awareness Training : Other Services : The Whole Person

Deaf Cultural Awareness Training Registration

To assist us in knowing some information about your business or organization's needs, please complete the following form.

Micki Keck will reach out to you via email to confirm details about your training.

Business/Organization Name

Contact Name

First Name *

Last Name *

Contact Email

Address where training will be held

Country

Address Line 1 *

City *

State/Province *

Postal Code *

How many people will attend the training?

Target audience

(i.e. all employees, executive team, support team)

What equipment will you provide?

Please choose all that apply.

Please give us your top 3 choices for the day/time of your training. Our goal is to give you your first choice unless we have a conflict with our schedule.

1st Choice Day/Time

2nd Choice Day/Time

3rd Choice Day/Time

Why is your business/organization interested in this training?

Anything we should know?

(Type of meeting room, directions to location, goals you would like to accomplish through the training, etc.)

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How did you hear about this program?

Upon submission of this form, you will receive a "confirmation email" and an on-screen confirmation. Micki Keck will also receive notification and will reach out to you within 48 hours, via email, to discuss your needs and preferred day/time of training. Upon the completion of this discussion, you will be sent a Deaf Services Training/Workshop Confirmation form. Payment for the training will be due upon completion and submission of this form. Once payment is received requested date and time will be secured.