Registration

Please complete this comprehensive Registration Form. It will only take two minutes, but it will provide Benchmark Training with information to better serve your training and coaching needs in the future. Thank you.

Name:
Title:
Organization:
Address 1:
Address 2:
City:
State:
Zip Code:
Phone:
Fax:
Email:
Web Site:
My organization is in the
	Accounting Aerospace Automotive Banking Biotech Business Services Computer Hardware Computer Software Conglomerate Construction Consumer Products Defense Energy Entertainment/Media Financial Services Food Services Government Healthcare Hospitality Insurance Management Consulting Manufacturing Pharmaceuticals Publishing/Printing Real Estate Retail Technology Services Telecommunications Transportation Utilities industry.
We have
	Less than 50 51-100 101-500 501-1000 1001-5000 More than 5000 employees.
We have / have not outsourced training in the past.
We do / do not invest in speakers and facilitators for offsite meetings and retreats.
We have / have not conducted a training needs assessment in the past year.
We do / do not conduct mandatory training for our employees.
We most often use as a method for training our workforce
	Classroom CBT Satellite Web-Based
My top five training needs are in the following areas:
1	Acquisitions/Contracting Briefing Business Writing Career Planning Change Clearing Clutter Coaching Communications Conducting Meetings Conflict Resolution Creativity and Innovation Customer Service Decision Making Diversity/EEO Influencing and Persuasion Leadership Listening Management Media Relations Mentoring Motivation Negotiation Networking Presentations Public Speaking Resume Writing Sexual Harassment Stress Management Team Building Time Management
2	Acquisitions/Contracting Briefing Business Writing Career Planning Change Clearing Clutter Coaching Communications Conducting Meetings Conflict Resolution Creativity and Innovation Customer Service Decision Making Diversity/EEO Influencing and Persuasion Leadership Listening Management Media Relations Mentoring Motivation Negotiation Networking Presentations Public Speaking Resume Writing Sexual Harassment Stress Management Team Building Time Management
3	Acquisitions/Contracting Briefing Business Writing Career Planning Change Clearing Clutter Coaching Communications Conducting Meetings Conflict Resolution Creativity and Innovation Customer Service Decision Making Diversity/EEO Influencing and Persuasion Leadership Listening Management Media Relations Mentoring Motivation Negotiation Networking Presentations Public Speaking Resume Writing Sexual Harassment Stress Management Team Building Time Management
4	Acquisitions/Contracting Briefing Business Writing Career Planning Change Clearing Clutter Coaching Communications Conducting Meetings Conflict Resolution Creativity and Innovation Customer Service Decision Making Diversity/EEO Influencing and Persuasion Leadership Listening Management Media Relations Mentoring Motivation Negotiation Networking Presentations Public Speaking Resume Writing Sexual Harassment Stress Management Team Building Time Management
5	Acquisitions/Contracting Briefing Business Writing Career Planning Change Clearing Clutter Coaching Communications Conducting Meetings Conflict Resolution Creativity and Innovation Customer Service Decision Making Diversity/EEO Influencing and Persuasion Leadership Listening Management Media Relations Mentoring Motivation Negotiation Networking Presentations Public Speaking Resume Writing Sexual Harassment Stress Management Team Building Time Management
The quality I value most highly in a training company is
	Customization Capability Hands-on Approach Interactivity Measurability of Results Reliability Value for the Dollar
I would / would not be willing to audit classes conducted for other organizations to help assess the quality of Benchmark Training.
The biggest obstacle to getting the training I want for my organization is
	Location Time Budget Management
Our primary purchasing cycle for training and related services is
	Anytime First Quarter Second Quarter Third Quarter Fourth Quarter
Please sign me up for periodic training updates, training tips and survey results by email.
	Yes No
Please include me on your mailing list so I can receive the newest Benchmark Training catalogs and brochures.
	Yes No
Please contact me about Benchmark's Executive Coaching services for my organization's leaders and managers.
	Yes No
Questions, Comments and Special Requests