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Request Training Waiver

Waiver ID: 1139224

Contact Information:

Name:
Agency/Institution:	-- Please Select -- Adams State UniversityAgricultureArapahoe Community CollegeArc of PuebloArchaeology and Historic PreservationAuraria Higher Education CenterCAACasey ConstructionCGICharter School InstituteCivil Litigation and Employment LawColorado AssistColorado Attorney GeneralColorado Community College SystemColorado Community College System OnlineColorado InteractiveColorado Mental Health InstituteColorado Northwestern Community CollegeColorado School for the Deaf and the BlindColorado School of MinesColorado Secretary of State Colorado State UniversityColorado Tourism OfficeCommunity College of AuroraCommunity College of DenverCorrections Criminal JusticeEducation El Paso CountyFront Range Community CollegeGovernor, Office of theHealth Care Policy and FinancingHigher Education History ColoradoHuman Services Jefferson County-Human ResourcesJudicialLabor and Employment Law Local AffairsMilitary and Veterans Affairs Morgan Community CollegeNatural ResourcesOffice of Information TechnologyOtherPERAPersonnel and Administration Pikes Peak Community CollegePublic Health and Environment Public Safety Pueblo Community CollegeRed Rocks Community CollegeRegulatory AgenciesRevenue StateState Auditors OfficeTransportation TreasuryTrinidad State Junior CollegeUniversity of Colorado at AnschutzUniversity of Colorado at BoulderUniversity of Colorado at Colorado SpringsUniversity of Colorado at DenverUniversity of Colorado School of DenistryUniversity of Northern ColoradoWestern State Colorado University
Division:
Phone:
Email:

Waiver Information:

Waiver is for:	-- Please Select -- 5 or Less People More Than 5 People
If "5 or Less People" please list the people individually. Please use a ";" (semicolon) between the student entries.
(i.e., Student Name - Division, 303-866-1234, student@email.com; Student Name2 - Division, 303-866-4321, student2@email.com)
Student(s) Contact Information:
If "5 or More People" please complete the information below.
How Many Students Total:
One Contact Information from each Division or Business Unit. Please use a ";" (semicolon) between the contact entries.
(i.e., Division - Student Count, Contact Name, Contact Phone, contact@email.com; Division2 - Student Count, Contact Name, Contact Phone, contact@email.com)
Divisions and Contact Information:

Vendor:	(Organization or Individual Delivering Training)
Vendor Contact:
Vendor Phone Number:
Total Cost of Training:	$ (NOT per-person, unless only 1 person is taking the class)
Beginning Class Date:
Ending Class Date:
Class Title:
Class Description:
Explanation of Reason for Waiver: