Change Management Intake Questionnaire

Change Management Intake Form

Name(Required)

First Last

Title(Required)

Company Name(Required)

Email(Required)

Phone Number(Required)

Address(Required)

How many years with your company?(Required)

How many team members directly report to you?(Required)

What are your greatest strength in managing change?(Required)

What challenges do you have with change managment in your role?(Required)

In your team/company, who do you believe has the best ability in change managment and why?(Required)

What would success look like at the end of this course? What do you need to learn to accomplish that success?(Required)

APR 30 – MAY 2, 2025 (CA)
MAY 5 – 7, 2025 (WA)
JUNE 4 – 6, 2025 (CA)
AUG 25 – 27, 2025 (WA)
SEP 15 – 17, 2025 (WA)
OCT 20 – 22, 2025 (WA)


Apr. 30 - May 2, 2025 (CA) ⋅ Aug 25 - 27, 2025 (WA) ⋅ June 4-6, 2025 (CA) ⋅ May 5-7, 2025 (WA) ⋅ Oct 20 - 22, 2025 (WA) ⋅ Sep 15 - 17, 2025 (WA)