NCIT Program Interest Form

IMPORTANT: This is a survey for the purpose of collecting interest and does not serve as a registration or official confirmation of a program.

Question Title

* 1. How many attendees would be interested in a program if it were to be scheduled in spring 2019?
(The Basic and Specialized courses operate concurrently, not back-to-back. Successful completion and a passing grade on the NCIT Basic exam are required prior to taking the NCIT Specialized course. Sorry, no exceptions.)

  Number of Attendees for
NCIT Basic
 		Number of Attendees for
NCIT Specialized
Spring 2019

Question Title

* 2. In order to notify you with additional information about the potential training, please provide the following contact information:
(Please take care to coordinate with others in your office or agency to prevent duplicate submissions.)

Question Title

* 3. How did you hear about this interest form?

Thank you for your time!  Your assistance in making this program possible is greatly appreciated!
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