Please complete the following form to describe your aviation related educational opportunity. The information provided will be used to create an online tool to share opportunities with people interested in the aviation industry.

Please use a separate form for each event you offer.

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* 1. Title of Event

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* 2. Location of event

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* 3. Is your opportunity available Statewide?

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* 4. Is your opportunity available Nationwide?

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* 5. Provider Information

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* 6. Event Contact

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* 7. Type of Organization

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* 8. Type of Activity (select all that apply)

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* 9. Is pre-registration required?

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* 10. Target Group Age (select all that apply)

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* 11. Are there any demographic targets (i.e. women, minority group, veterans, members, etc.)

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* 12. Are accommodations available (i.e. mobility, sensory, etc.)

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* 13. Duration of event (hours/day)

  1 hour or less 1-3 hours 3-5 hours 5-8 hours more than 8 hours
hours/day

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* 14. Duration of event (days/week)

  M T W Th F Sat Sun NA
days/week

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* 15. Duration of Event (number of weeks)

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* 16. Duration of Event (additional information)

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* 17. Duration of Event: Frequency of event offering

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* 18. Emphasis (select all that apply)

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* 19. Staffing (select all that apply)

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* 20. Venue (select all that apply)

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* 21. Specialized equipment (select all that apply)

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* 22. Cost Range/Person

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* 23. Funding Source (select all that apply)

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* 24. Participant Group Size

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* 25. What FAA Region is this in (select all that apply)?

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* 26. Is Course work Credit Provided (select all that apply)?

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* 27. Date Survey Completed

Date

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