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Employee Training : Information Request Form
Tell us about you
*Email Address:
We respect your
privacy
.
*First Name:
*Last Name:
*Title:
*Department:
*Phone:
How did you hear about us?
Click to Select
Email from Boson
Friend/Colleague
Google
Packet Magazine
Redmond Magazine
Search Engine
Other
Tell us about your company
*Company:
*Address 1:
Address 2:
*City:
*State/Province:
Click to Select
International (Outside U.S. or Canada)
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
U.S. Armed Forces - Americas (except Canada)
U.S. Armed Forces - Africa
U.S. Armed Forces - Canada
U.S. Armed Forces - Europe
U.S. Armed Forces - Middle East
U.S. Armed Forces - Pacific
*Zip/Postal Code:
Required for US and Canada. Otherwise, enter if applicable.
*Country:
United States
Canada
United Kingdom
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Antilles, Netherlands
Arabia, Saudi
Argentina
Armenia
Aruba
Asia Pacific
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Rep. of the
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Czechoslovakia (Former)
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
European Union
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories - TF
Gabon
Gambia, the
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guerney
Guinea
Guinea-Bissau
Guinea, Equatorial
Guiana, French
Guyana
Haiti
Heard and McDonald Islands
Holy See (Vatican City State)
Holland (see Netherlands)
Honduras
Hong Kong, (China)
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Ivory Coast (see Cote d'Ivoire)
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Demo. People's Rep. of
Korea, (South) Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao, (China)
Macedonia, TFYR
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar (ex-Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia (Russian Federation)
Rwanda
Sahara
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
S. Georgia and S. Sandwich Is.
Spain
Sri Lanka (ex-Ceilan)
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste (East Timor)
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
US Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
*Number of Employees:
1-20
21-50
51-100
101-250
251-500
501-1,000
1,001-5,000
5,001-10,000
10,000+
*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)
Cisco
Microsoft
CompTIA
Other IT
NetSim
(Cisco IOS Simulator)
NetSim for CCNA
NetSim for CCNP
2. How many years has your organization facilitated employee acquisition of IT certification(s)?
0-1
2-3
4-10
11+
3. In the next year, how many of your organization’s employees will prepare for the following IT certifications?
Cisco (list approximate # of employees)
0
1-3
4-10
11-25
25+
Microsoft (list approximate # of employees)
0
1-3
4-10
11-25
25+
CompTIA (list approximate # of employees)
0
1-3
4-10
11-25
25+
Other IT Certifications (list approximate # of employees)
0
1-3
4-10
11-25
25+
4. In how many offices are your certification candidates located?
1
2-4
5+
5. Does your organization have a significant number of “virtual” employees seeking certification?
Yes
No
6. By what date would you like to have Boson software incorporated into your training program?
Within 15 days
In 16-30 days
In 31-60 days
In more that 60 days
7. Briefly explain your needs.