NPMA Onsite Course Request

Thank you for your interest in NPMA training courses. This form is used to request a virtual or in-person course for employees of your Company, Organization or Agency. Please complete this form and return it to education@npma.org to receive a quote for services. The quote is valid for a period not to exceed 60 days. A deposit in the amount of $1,500, per course, will be required upon acceptance of the quote to hold the agreed-upon dates. See the last section for the cancellation/reschedule policy. For a full description of the NPMA Onsite Course Policies, please visit www.npma.org/onsitepolicies.

Part One: Company Contact Information

Company/Organization/Agency Name

Name of person completing form

Phone number of person completing form

Phone

Email of person completing form

Primary Contact Name

Primary Contact Phone

Phone

Primary Contact Email

Address

City, State, Zip

Company Web Address

Part Two: General Information

Number of expected attendees

Online courses: minimum 6, maximum 23 In-person courses: minimum 6, maximum 30

Type of Training Requested

Fleet Certification Course

Property Certification Course

Non-Certification Course

Other Course Requested

Will the course be open to local Chapter members?

No - staff from company only.

Yes - open to local NPMA Chapter Members

Part Three: Course Details

Preferred Start Date (1st choice)

Form must be submitted a minimum of 60 days prior to the earliest-requested start date.

mm/dd/yyyy

Preferred Start Date (2nd choice)

Form must be submitted a minimum of 60 days prior to the earliest-requested start date.

mm/dd/yyyy

Please note: Prices listed do not include third-party billing charges for facilities, A/V rental, provision of printed materials, etc. These charges will be included in the final, adjusted price quote.

Course Location

Please note: Fleet courses are in-person only.

Online

In-person at host facility

In-person at rental facility ($400 NPMA fee plus venue rental fee; exact cost listed on final invoice)

Will the employees taking the course need to take breaks at specific times?

Yes

Additional Comments

Please list any additional information that will be helpful for staff when creating your quote and/or planning the training.

Requirements for participation in online courses

• Computer • Internet connection (hard-wired ethernet connection strongly recommended) • Internal OR external webcam • Headset with built-in microphone OR ear buds with built-in microphone • Adobe Connect (free download available at link below) OR Google Chrome with webcam and microphone use enabled IMPORTANT: If participants will be using work-issued computers to attend the virtual course, it is the responsibility of the requesting organization or company to test the learning platform and ensure participants will have full access to use webcams and microphones on Adobe Connect during the training. If participants will be using personal computers to attend the virtual course, it is the responsibility of each participant to test the learning platform before registering for the class, or at least 45 days before the class. No refunds will be issued after 45 days prior to the start date of class due to technical issues. To download Adobe Connect and test your system, please go to https://npma.adobeconnect.com/common/help/en/support/meeting_test.htm and follow the steps to install Adobe Connect, then run the diagnostic test. If you cannot download Adobe Connect, follow the steps to enable webcam and microphone access within Google Chrome, then click Test Again.

Cancellation/Rescheduling Policy for Onsite Courses

• Requests for course cancellations and/or rescheduling must be received in writing via email at education@npma.org. • Requests received at least 45 days before the event will receive a full refund, less $75 processing fee for each student or can be rescheduled to a mutually agreed upon date within 12 months from the original course date. • Requests received less than 45 days before the course will forfeit the deposit. In the event the deposit does not cover all costs incurred by NPMA, or the instructor, customer will be responsible to reimburse the additional costs. • If the training is cancelled due to weather, or other unforeseen circumstances beyond our control, a full refund of the course fee will be given. NPMA will not be responsible for travel expenses incurred by any parties as a result of such cancellation. • Should event be cancelled and not rescheduled within 60 days of the agreement/quote, NPMA reserves the right to update pricing as needed.

Electronic Signature

By typing my name in the box below, I acknowledge that I have read and agree to the NPMA Onsite Course Policies (www.npma.org/onsitepolicies), the Cancellation/Rescheduling Policy for Onsite Courses, and the Requirements for participation in online courses (if applicable).

Send me a copy of my responses

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