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Student Training : Information Request Form

Tell us about you

* Email Address:   
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* First Name:   
* Last Name:   
* Title:   
* Department:   
* Phone:   
How did you hear about us? 

Tell us about your company

* Company:   
* Address 1:   
Address 2: 
* City:   
* State/Province: 
* Zip/Postal Code: 
Required for US and Canada. Otherwise, enter if applicable.
* Country: 
* Number of Employees: 
* Industry:   
* Company URL: 

Tell us more about your business and what is important to you

1. Which product lines are you interested in? (Please select all that apply)
  ExSim (Exam Simulations)
     Other IT
  NetSim (Cisco IOS Simulator)
     NetSim for CCNA
     NetSim for CCNP
2. How would you classify your organization?

if Other please specify:
3. How many years has your organization offered IT certification training?
4. How many training facilities does your organization currently offer?
5. On an annual basis, how many separate class sessions are taught at your facility (ies) in preparation for the following IT certifications?
  Number of Classes:
  Students per Class (avg):
  Number of Classes:
  Students per Class (avg):
  Number of Classes:
  Students per Class (avg):
  Other: IT
  Number of Classes:
  Students per Class (avg):
  Other: Non-IT
  Number of Classes:
  Students per Class (avg):
6. By what date would you like to have Boson software incorporated into your training program?
7. Briefly explain your needs.

* Required field