CTC Program Information Form

Note: This information will be emailed to Dr. Susan Klingel-Dowd. This form does not enroll you in the CTC program; you must complete the enrollment process with the Center for Organizational Resources.

Items with an * indicate a required field.

First Name *
Last Name *
E-mail address *
Phone
Address Line 1
Address Line 2
City
State
Zip
How did you hear about this program?

What are your areas of training/consulting interest?

When do you expect to complete COMM 650 and COMM 653?

Any other questions or comments?