Client Telephone Conference (CTC) Request Form

This application form is for client use only. If you would like to either request or confirm an appointment for a telephone conference with a Certified Learning Provider (CLP) at Appleton Greene, to discuss their Unique Program Proposition (UPP) with them in more detail, or to ask them any questions about their program, then please kindly complete this Client Telephone Conference (CTC) Request Form. It will only take you 5-10 minutes. This is not a program order and represents no obligation on your part. It represents an opportunity for you to enhance your understanding and interpretation about the corporate training program that you are interested in and enables the Learning Provider to determine how much synergy there is likely to be between your Key Corporate Objectives (KCO) and their (UPP) program benefits.

Be prepared

Before you request a personal telephone conference, please kindly take the time to read through all of the information that has been provided within the Learning Provider's Client Information Hub (CIH) thoroughly in order to enhance your understanding and interpretation relating to this corporate training program.

Personal Details

Full name *

Primary email address (one only please) *

Backup email address (one only please) *

Web site address *

Company name *

Company mailing address *

Location (City & Country) *

What is your position within the company? *

Telephone number (preferred) including the international code *

Telephone number (backup) including the international code *

Estimated annual sales in US Dollars? *

Estimated number of employees? *

How many years has the company been established? *

How did you find Appleton Greene & Co? *

Program Information

Please enter the name of the corporate training program that you are interested in (For Example: Brand Management) *

Please enter the name of the Certified Learning Provider that you are interested in *

What was it that interested you about this particular corporate training program?*

Please list what you consider to be your company's Key Corporate Objectives (KCO) in relation to this service? *

Telephone Conference

Please provide us with three alternative dates and times when you would be available for an initial 30 minute telephone conference.

Appointment Option 1

Appointment Option 1 (Insert your preferred Day/Month/Year/Time) Eastern Time (New York) *

Appointment Option 1 (Insert your preferred Day/Month/Year/Time) Local Time (within your location) *

Appointment Option 2

Appointment Option 2 (Insert your preferred Day/Month/Year/Time) Eastern Time (New York) *

Appointment Option 2 (Insert your preferred Day/Month/Year/Time) Local Time (within your location) *

Appointment Option 3

Appointment Option 3 (Insert your preferred Day/Month/Year/Time) Eastern Time (New York) *

Appointment Option 3 (Insert your preferred Day/Month/Year/Time) Local Time (within your location) *

SENDING YOUR CLIENT TELEPHONE CONFERENCE (CTC) REQUEST FORM

To submit this Client Telephone Conference (CTC) Request Form, please confirm that you have read the Certified Learning Provider's Client Information Hub (CIH) by ticking the appropriate box below.

I have read the Appleton Greene Certified Learning Provider's Client Information Hub (CIH)

Be proactive about receiving Appleton Greene's email communications

It may also be prudent for you to ensure that you add the email address certifiedlearningproviders@appletongreene.com to your safe email user or white list for both the primary and backup email accounts that you have provided within this form. This will ensure that you receive all Appleton Greene email communications safely, without them being inadvertently diverted to your spam email folder by your internet service provider.