Interested in a course or program in the UNI catalogue? Start by filling out this form. Part I: YOUR CONTACT INFORMATIONTo help us plan and schedule the best course and program opportunities for your affiliate, please provide the information below: Your name: * Your local, state federation or affiliate name: * Your local number (if applicable): Your phone number: Your email address: Your position in your union (president, executive board member, building representative/steward, activist, etc.): Secondary Contact Information Name and contact information for the person who will be coordinating the training for your affiliate (if different from above): Name: Phone: Email: PART II: YOUR COURSE OR PROGRAM REQUEST Option 1: Request an existing course or program I’d like to request an EXISTING course or program as listed in the AFT UNI course catalogue. (Please provide the name and number of the course or program you are requesting): Course name: Course number: Approximate number of participants from your affiliate: Option 2: Request a custom-designed course or program. I’d like to request a CUSTOM-DESIGNED course or program. Please provide a brief description of the type of course or program you desire: PART III: LOGISTICS(Note: If you are requesting an existing course or program that takes place at a specific, predetermined location and date—i.e., a program such as ULI Great Lakes—you do not need to provide additional logistical information at this time.) If you requested an existing or custom-designed course or program that does not occur at a specific place and time, please provide the following information: Do you have specific dates in mind for the training or a general time frame? Specific date(s): General time frame: Please estimate the number of people from your affiliate who will be participating in the training: Where will the training be held? City: State: Has a preferred venue been selected? Yes No If yes: Name of the venue: Address: Phone: Email: Who will the training be provided for? (Check all that apply.) Leaders Staff Activists Others Thank you for your interest in the courses and programs offered by AFT UNI. For more information or to browse our catalogue online, visit www.aft.org/AFTUNI. Questions? Call us at 202-879-4497. Leave this field blank