D2LA Campus Training Partner Application
Anonymous Login Code:
Code Entry Page
Save this code which is required to update your response at a later time.
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Tell us more about the program you're offering!
(8 words or less)
Date of Program:
If you're offering this program on more than one date, please enter the date of the first offering here, and let us know that this is a multi-date program in the comments section below!
Program start time:
(i.e. 9:00am; 1:30pm)
Program end time:
(i.e. 10:30am; 4:00pm)
*Please Note: You are responsible for booking your program location. The room should be booked prior to completing this form.*
(i.e. Administrative Professionals; Campus Leaders; CHHS Staff; All Employees; etc.)
Maximum Number of Participants:
This is the maximum number of participants your program can accommodate. Once your program has reached capacity, registrants will be placed on a wait-list.
Minimum Number of Participants:
This is the minimum number of participants needed for your program. If fewer than this number register, your program will be cancelled/rescheduled.
(Try to keep around 100 words)
Name of Program Facilitator:
(First & Last)
Email Address of Program Facilitator:
(with @uncw.edu; for example, firstname.lastname@example.org)
Is there anything else we need to know about this program?
(i.e. You're offering multiple times/dates; There's more than one facilitator; etc.)