Training Survey

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Please be as specific as possible so that we may tailor the training program to meet your needs.

Name:

Phone:

Cell:

Email:

Establishment Name:

Address:

City:

State/Zip:

Inventory Control	Establishment Security
Alcohol Awareness	Stocking Cold Boxes
Health Department Inspections	Lottery/ATM
Computer Cash Register and Scanner Training	Liquor Board Inspections
Proper Alcohol Leveling	Other

Why are you interested in these areas?

Please list topics that you would like training in that have not already been identified.

Are you interested in participating in the above-mentioned program?	Yes	No
If so, what specific training would you like the potential trainee to receive?

Inventory Control	Establishment Security
Alcohol Awareness	Stocking Cold Boxes
Health Department Inspections	Lottery/ATM
Computer Cash Register and Scanner Training	Liquor Board Inspections
Proper Alcohol Leveling	Other

Please list topics that you would like the potential trainee to receive that have not been identified.