Public Seminar Registration

Thank you for attending Guthrie-Jensen's Public Seminar. In preparation for your program completion, please fill out this short form.

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* 1. What is the complete name of your COMPANY?

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* 2. Your Complete Name: How do you want it reflected on your certificate?

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* 3. Your Nickname: How would you like to be addressed during this session?

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* 4. Your position (please spell out)

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* 5. Please confirm your email:

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* 6. My LEVEL is best described as

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* 7. My Department (please choose the best answer)

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* 8. My age group:

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* 9. Name of Immediate Supervisor

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* 10. Position of Immediate Supervisor/Manager

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* 11. Email of Immediate Supervisor/Manager

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* 12. Who asked you to attend this program?

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* 13. How long have you been working in your organization?

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* 14. When is the start of your company's fiscal year?

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* 15. This is to certify my attendance and participation in this program!

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