Request a Course At Your Location

Many of our courses can be customized to your group's needs. Some courses have a minimum or maximum number of participants and others have special space needs. Please fill out the form below to help our staff better evaluate your request.

Contact Information:

Name:

Organization:

Address:

City:

State:

Zip Code:

Daytime Phone:

Extension:

Best time to call:

9am-12pm

12pm-5pm

3pm-11pm

E-mail address:

Course Information:

Course Type:

Please supply any additional information about the type of course or your requirements:

When are you looking to hold a course:

1 to 2 months

2 to 4 months

4 to 6 months

Information about the teaching area:

Is the room:

Large
25+ people

Medium
12-24 people

Small
6-12 people

What is on the floor?

Hard surface

Carpet

Audio/Visual Equipment available on site:

TV/VCR

DVD

Slide Projector

Projection Screen

Computer

Computer Projector

Other Equipment:

This information will be sent via e-mail to mhs@rwjuh.edu.