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Project assistance
First Name
Last Name
Company
E-Mail
Phone Number  Extension (if any)

How would you like us to contact you?
Phone
E-Mail

Please describe briefly what you are trying to accomplish:

Areas where project assistance is needed (check all that apply):
Project management
Human acceptance of change
Documentation
End-user training
Training material development
Conversion assistance
Team building/mentoring
Facilitation to gain concensus and prioritize objectives
Process improvement
Other:

Level of expertise needed

Timeframe when help needed:
Immediately
Within 3 months
Within 6-12 months
Unknown

Estimated length of engagement (check one or enter numbers):
As needed to solve problems
Unknown
Number of hours
Number of days
Number of months

Location of workplace:
Client location:
Off-site

Is the project budgeted?
Yes
No
Unknown

Additional comments or questions:



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