EmailMe Form - USCGAUX 9CR Training Request Form

Requestor Name *
First Last
Please enter your name
Division *
Please select your Division from the dropdown list
Flotilla Number *
Please enter your Division number followed by your Flotilla number
Requestor Email *
Contact Number *
### - ### - ####
Please enter your phone number
Training Name *
Please provide the name of your Training
Training Start Time & Date *
MM / DD / YYYY HH : MM AM/PM
Please enter your meeting Date and its start time
Duration of Training *
How long do you expect the training to last? *Trainings should not last more than 3 hours*
Anticipated Number of attendees *
Have you been a meeting organizer before? *
YES
NO
Please indicate if you have been an organizer for a GTM meeting before
Training Session Focus Area *
Target Audience *
EX: Vessel Examiners/Leadership/FSO-MT's etc.
Description of Training *
Please provide a brief explanation of the purpose of the session and provide sample topics to be covered.
Are attendees required to RSVP for this session? *
Yes
No
All RSVPs will be tracked through SignUp Genius - see link on 9CR Member Training page
Instructor Information
If different from requestor /Name/Phone/Email/Flotilla
Point of Contact
If different from requestor /Name/Phone/Email/Flotilla
List any Session Pre-Work that is required
Any prerequisites? Will attendees need to obtain any materials prior to the session, such as manuals, PQS, etc...?
Anything else we should know
Anything else we need to know for your event?