SCHEDULE A CLASS
Instructor Information
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Instructor Teaching Class:
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Company:
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Person Requesting Class on behalf of instructor:
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Phone Number:
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Email Address:
Course Information
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Date of Class:
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Type of Class:
8 Hour Initial Class
4 Hour Refresher Class (5 Hour for Colorado)
Combination Class (8 and 4 Hour on same day. *Not available for Colorado)
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8 Hours Course Name Being Taught:
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State Course Approved in:
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8 Hours Course ID:
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8 Hours Credit Hours:
Select State
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Wyoming
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8 hour Start Time:
Select Time
01:00
01:15
01:30
01:45
02:00
02:15
02:30
02:45
03:00
03:15
03:30
03:45
04:00
04:15
04:30
04:45
05:00
05:15
05:30
05:45
06:00
06:15
06:30
06:45
07:00
07:15
07:30
07:45
08:00
08:15
08:30
08:45
09:00
09:15
09:30
09:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
AM
PM
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8 hour End Time:
Select Time
01:00
01:15
01:30
01:45
02:00
02:15
02:30
02:45
03:00
03:15
03:30
03:45
04:00
04:15
04:30
04:45
05:00
05:15
05:30
05:45
06:00
06:15
06:30
06:45
07:00
07:15
07:30
07:45
08:00
08:15
08:30
08:45
09:00
09:15
09:30
09:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
AM
PM
Is this an "open" or a "closed" class?
Open
Closed
Open classes are listed on our website (www.ltcconnection.com) in the Training Partners section on
www.ltcconnection.com
. Students can click on your class and RSVP to it (It does not ask for credit card or any form of payment.) You will receive an email with their registration information on it and they will receive a confirmation email. You will need to contact them to advise them how to provide payment to you.
Please enter the name, phone number and email address of the individual you would like listed to take registrations or provide more information.
Name:
Email:
Phone:
Name:
Phone:
Email:
Cost of 8 Hour Class:
Price you are charging
Cost of 4 Hour Class:
Price you are charging
Class Location Information
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Name of Company or Organization the class is being held for:
(Example: Edward Jones, Ameriprise, NA/FA, etc)
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Name of Venue:
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Address:
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City:
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State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Zip Code:
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Location Telephone: