Please use this form to submit your request for self-study or assessment instruments. Once we receive  
 your completed request we will email you a hyperlink to the information. All fields marked 
 with an * must be completed in order to receive free materials. 

       Your Name *        
       Job Title *          
       Company  *   
       Street Address *    
       City  *             
     State  *                                                      
       Zip *                                           
      E-mail *     
      Phone *    
      Fax            

 Does your organization outsource their on-site training?  

  Yes No

From the list below, select the types of on-site training you outsource.  

  Career Development Change/Organizational Development Communication Skills Customer Service Diversity Executive Development Finance & Accounting Management & Supervision Negotiations Project Management Sales and Marketing Secretaries & Administrative Assistants Sexual Harassment Teambuilding Time & Stress Management Train the Trainer

 What is the approximate amount you spend annually on on-site training?   
                                       Less than $10,000 (USD) $10,000 - $24,999(USD) $25,000 - $49,999 (USD) $50,000 - $99,999 (USD) Above $100,000 (USD)

 What is your role in the on-site decision making process?   

                                        I am the decision maker.
                                        I am not the decision maker.

 If you are not the decision maker please provide the contact information for the person who 
 makes decisions regarding your organizations on-site training.                    
                                                         
 Name Title Phone #

 Comments -- Please describe any immediate needs you may have for on-site training.

 Please let us know how you heard about TrainersDirect TrainNet/Linton Publications Training Registry ASTD website Workforce Website LearnShare SalesVantage Referral Received E-mail Search Engine Other *

 Please send me the hyperlink for the following assessments instruments. 

  Instructor Development Needs Analysis Management Training Needs Analysis Staff Training Needs Web User Training Needs Training & Educational Leader Assessment Measuring Your Organization's Performance Management  
 Programs are in Word. To make more than one selection depress the Ctrl key and left click your mouse on each of  the 
 desired  programs. 

 Please send me the hyperlink for the following self-study programs   
 
  Identifying Your Management Style Identifying Your Strengths & Weaknesses Introduction to Leadership Introduction to Management Problem Solving & Decision Making Effective Communication Techniques The Planning Process
 Programs are in a .pdf format. To make more than one selection depress the Ctrl key and left click your mouse on each of  the 
 desired programs.