TRAINING REQUEST FORM Date of Request: Type of request: Choose One Revised Requests: Choose one CLIENT INFORMATION Client: Client Contact: Division: Email: Approved by: Phone: TRAINING LOCATION SITE COORDINATOR (if different than client contact) Address: Site Coordinator Name: Phone: City: State: Zip: Email: SCHEDULING Training Title Date Time – 1. – 2. Time Zone # Attending Delivery Onsite Webinar Onsite Webinar 3. - Onsite Webinar 4. - Onsite Webinar 5. - Onsite Webinar Client/Audience Info: Special Considerations/Issues: How do you plan on promoting the training? TERMS & CONDITIONS 1. 2. 3. Sessions are designed for an audience of 30 participants maximum. Larger audiences will be charged additional service units. The trainer will contact you to confirm the session date and time, directions and AV requirements. Clients are expected to provide an LCD projector and laptop or desktop computer for a PowerPoint presentation. Cancellations or postponement of a training session received within 72 business hours of the scheduled event are subject to a cancellation fee. SUBMITTING YOUR REQUEST 1. 2. Complete this form 5-6 weeks in advance of the requested training date. Email request form to seminar.events@ceridian.com or fax to 651-994-2857. 2009 Training Request Form 4/1/09