Request for Services Form

Request for Services Form
Request for Services Form2016-09-03T18:43:31+00:00
Request For Services

Mission Statement

The mission of Jim Shipley & Associates, Inc. is to serve as the catalyst for educational improvement by providing services and products that engage educators in a practical approach to using Baldrige Criteria to achieve and sustain performance excellence.

In an effort to serve you better, we ask that you fill out this form completely before submitting. Your request will be processed and you will receive notification confirming/approving your request once a trainer has been assigned. Following JSA's approval of your request, please make any cancellations/changes prior to 60 days before the training in order to avoid cancellation penalties.

PART I: Client Request

Please include the City and State

Contact Information:

(Evenings/Weekends/Emergencies)

Billing Information:

(Evenings/Weekends/Emergencies)
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