Dr. | Mr. | Mrs. | Ms
           Name: 
          Title: 
        Company: 
        Website: 
       Address1: 
       Address2: 
           City: 
          State: 
ZIP/Postal Code: 
        Country: 
          Phone: 
            Fax: 
          Email: 

What are your general responsibilites?

What is the average number of classes presented each month?

What is your typical class size?

What is your typical class duration?

How often do you present training?
Daily 4x a week 3x a week 2x a week 1x a week 3x a month Less often

When do you usually train?
Day  |   Evening  |   Both

Do you frequently travel out of town (overnight or more than 1 hour's travel) to conduct training?
Yes No

What have been your greatest training challenges?

Why did you choose to become a computer trainer?

Primary Hardware Platform:
Personal Computer Macintosh Other Workstation

Primary Operating System:
MS Windows (all versions) MS DOS UNIX Other

What do you hope to gain by membership in the association?

Would you like to submit articles or other information to our resource areas?
Yes  |   No