Enrollment Request for Employers

Please complete this questionnaire so that we better understand your learning expectations.

First Name:
Last Name:
Title:
Business Name:
Street Address:
City:
State:
Zip:
Email:
Phone:
FAX:
How many of your employees would you like to enroll in the ICDL Certification program?
How many of these employees currently hold positions that require computer skills?
As a group, please rate your employees computer skills by using the following rankings?
(1) No Knowledge (2) Some Knowledge (3) Good Skills (4) Expert
Basic computer concepts: 1   2   3   4
Using the computer to manage files: 1   2   3   4
Word processing: 1   2   3   4
Spreadsheets: 1   2   3   4
Databases: 1   2   3   4
Presentations: 1   2   3   4
Internet and E-mail: 1   2   3   4
Your business fits into which sector:


Please describe your goals in obtaining ICDL certification training for your employees: (250 character max.)
Please select the Training and Testing Center most convenient for your employees to access:

Lock Haven, Clinton County
Mill Hall, Clinton County
Coudersport, Potter County
Galeton, Potter County
Philadelphia
Port Allegany, Potter County
If your employees are selected for ICDL Training, what method of instruction would you prefer that they receive? Internet-based / Online
CD (Compact Disc)
Instructor-led
Any method that the employee chooses
 
If Instructor led or Any Method please select time most convienient.
How did you learn about the Project TIME / ICDL certification program?

If Other:

 

By submitting this Request for Enrollment, I understand that if employees from my business are selected for this project, they must be willing to report testing, training, job search, and employment information to a Training and Testing Center coordinator. I understand that completion of this questionnaire does not guarantee or entitle my business to any services, training or testing associated with this program. I understand that employees from my business who are selected for the program must complete their own questionnaires, enrollment forms, and pre-tests. Upon completion of their questionnaires, I understand that employees from my business will be notified within 30 business days if they are selected for this project.

 

  

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