Catastrophe Field Property Training Registration Form Question Title * 1. What is your first name? Question Title * 2. What is your last name? Question Title * 3. Please provide your contact information. Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address * Phone Number * Question Title * 4. Have you previously worked for Crawford & Company? Yes No Question Title * 5. Do you have a valid adjuster's license? Yes No Question Title * 6. Please indicate your experience with Xactimate. Beginner Intermediate Expert Question Title * 7. Do you have prior construction experience? Yes No Question Title * 8. Do you have previous field adjusting experience? Yes No Question Title * 9. Are you willing to set up a ladder and access roofs for inspections? Yes No Question Title * 10. Do you have previous customer service experience? Yes No Question Title * 11. Please indicate which session you would like to attend (must attend the entire session). March 8 to March 12 in Atlanta, GA - $235 USD You will pay at the end of this survey. Question Title * 12. Please upload an updated resume. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload an updated resume. Please be advised we have a maximum capacity of 20 students and your seat in the class will not be reserved until you make a successful payment of $235. 35% of the registration fee will be refunded if cancellation is made on or before March 1, 2021. Any cancellations made after March 1, 2021 will be non-refundable. Done