Dons Test Form – The Continuing Challenge

Please fill this form out to submit your course proposal. You will be emailed by the Challenge to let you know your class proposal has been received. If your proposal is approved, you will be contacted with information on how to record and upload your course, or schedule a class time.

First Name *

Last Name *

Organization *

Phone *

Email *

Course Title

Course Description, please describe in detail.

Type of course

Pre-recorded video, (Our preferred method)
Live Video

Can we add your course to our library for students at a later date?

Yes
No

Can your live course be recorded and made available for students at a later date?

Yes
No

Is there a limit to the number of students your live platform will handle for your class? Please specify numbers below.

Course Length

8 Hours
4 Hours
2 Hours
Other, please specify below

If Other, Please Specify, (One hour, 3 hours, etc. We need to be able to let the students know how long the class will be so they can plan their day.)

Delivery date preference

Labor Day Week
Other
Either

Can students contact you for information after viewing your class?

Yes by Email
Yes by Phone
Either, email or phone
No

If it is ok for your students to contact you via Email or Phone please specify below what hours are best for you so they will have an idea when they might get a reply back, or when you might answer the phone. Do not forget your time zone.

Email *

Phone *

Email *

Phone

Additional Comments

Do you have another class to submit

No
Yes

Please fill this form out to submit your course proposal. You will be emailed by the Challenge to let you know your class proposal has been received. If your proposal is approved, you will be contacted with information on how to record and upload your course, or schedule a class time.

After clicking submit below, go back to hazmat.org and start a new form.