Custom Request for Learning and Development

Custom Request for Learning and Development - 2025

Thank you for your interest in our services! Please fill out the form to let us know how we can help.

First Name*

Last Name*

Contact Email*

Campus*

Denver

Anschutz Medical Campus

Dual

Other

School/College/CSA Unit

Select or enter value

Requested_Service*

(Check as many as apply)

Additional choices may populate depending on your selection(s). Please provide as much information as possible by completing all sections that appear.

For more information about the services, visit our Consulting and Custom Course Services webpage.

Employee Engagement/Climate Survey Type

(Choose all that apply)

Group Facilitation Type

Focus Group

Moderator

Town Hall

Retreat/Team Building

Coaching Type

Professional Development

Career/Transition

Leadership/Executive Coaching

Coaching Audience

Self

Staff Member

Both

Assessment Type

360

Appreciation in the Workplace

DISC

Clifton Strengths

DISC Type

Standard DISC

DISC Leadership

DISC Under Stress

DISC Team Culture

Clifton Strengths Type (Price per Participant)

Top 5 ($25)

Full 34 ($60)

Managers ($50)

Leaders ($50)

Custom Session Topic

Choose at least 1 area where you would like the team to focus their instruction during the session. Session topics are organized by high-level competencies. For more information about courses that align with competencies, please check out our CU General Course Competency Map.

Managing the Organization

Leading Self

Leading Others and Teams

Leading Programs and Projects

Custom Course Comments

Please use the comment box below to provide as much detail as possible about your learning objectives so we can provide the best options for your goals.

Participants

Approximately how many individuals do you believe will be participating?

Please provide a timeframe for your request. Specific dates will be discussed during a follow-up interview. Sessions will be scheduled based on L&D team availability.

Requested Timeframe

Within 1 month

2-3 months

4-5 months

6+ months

Please explain your timeline:

Please explain further the immediacy around the timeframe.

Time Alloted

Approximately how much time do you have allocated for your event?

1 hour

2-3 hours

Half Day

Full Day

Details/Comments

Please provide any additional information the L&D team needs to know about this request.

Send me a copy of my responses

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