Creativity At Work Request Form

Name*

First Last

Phone*

Email*

Organization or group name*

Number of people in your group*

What type of workshop are you interested in?*

A half-day workshop (up to 4 hours)
A full-day workshop (up to 8 hours)
Other (fill in below)

Other (if applicable)

We have a menu of options for workshops below. Please indicate the workshop(s) you are most interested in or indicate if you’re interested in working with us to create a custom workshop.

VIEW THE MENU

Workshops*

Do you have any specific goals our outcomes that you are hoping to meet through this visit? We can often integrate this into the program structure and curriculum.*

Will you require/be interested in additional meeting space for a discussion or business meeting? This is included within the per-person cost of this program.*

Are there any special needs or accommodations needed for your group?*

Is there any other information you would like to share with us?*

How did you hear about us?*

Creativity At Work Request Form

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