Client Intake Form New Client Information Welcome to HT Certified. Please help us create the best experience possible by completing the information on this form. Client Intake FormΔCompany Information:Company NameCompany Type:- Select -Corporation (For Profit)Corporation (Non-Profit)School District (Private or Public)Sales OrganizationChurch (Religious Organization)MunicipalityCollege (Private or Public)State or Federal AgencyTrade AssociationOther (Describe)Other (Company Type)Company WebsiteAddressCityStateAdditional Information:How Many People From Your Organization Would You Like to Empower with Our Training Platform?Total Size of Your Organization (Include all groups, i.e. students, faculty, staff, executives, etc.)- Select -50-250251-750751-1,5001,501-3,0003,001-10,00010,001-20,00020,001+What Group from Your Organization Will Use Our Platform Most?- Select -Entry LevelMiddle ManagementSenior ManagementExecutive LevelSales and MarketingAdministrationStudentsFaculty and StaffOther Group (Describe)Other Group (Describe)Any existing online training?- Select -YesNoPlease specify what kindCurrent Annual Training Budget?- Select -5,000-50,00050,001-150,000150,001-300,000300,001Goals for training? (multiple choice options)Select all that appliesImprove morale/employee confidenceReduce turnoverIncrease productivityEnhance employee recruitmentTell us about your organization:Name and Title of Decision MakerFirst NameLast NameTitleName of Contact Person (if different from Decision Maker)Contact NumberContact E-mailHow soon would you like to get started?- Select -ASAP60-90 Days3-6 Months6 months or moreAny additional comments:Submit Information
