Continuing Education & Community Service Registration UAHT Community Education/Industry Training Class Suggestion Form Name: * Email Address: * Phone Number: Gender: Female Male Prefer not to say Other Age: 13-17 18-24 25-34 35-49 50-64 65-74 75+ What city do you work in? How do you spend your free time? Pursuing personal hobbies and interests Family activities Group activities with friends Personal time with significant other Exploring the community Attending cultural events Being outdoors Working a second job or business owner Seeking employment Employment or business training What kind of class do you suggest we offer? * Do you know an instructor who can potentially teach the class? Yes No If yes, please provide instructor information: Have you ever taken a class at UAHT with Community Education or Industry Training? Yes No If you are human, leave this field blank. Submit
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