Live Course Host Application

MM slash DD slash YYYY
Hosting Facility Address(Required)
Examples: Are there any specific needs for parking (i.e. paid, only available in a certain lot or specific spots)? Are there specific areas near your clinic that you would recommend students stay? Are there tips for public transportation (i.e. Uber/Lyft available, metro or bus options, shuttles)?
I am interested in Hosting:(Required)
I can host Saturday and Sunday from 8am - 6pm, and I would prefer the following for the additional 1/2 day for this course:(Required)
Check all that apply:(Required)
If I am confirmed as host for a course, I agree to the following statement: I will promote the course in my area and within my network with the understanding that the course may be cancelled if 7 or more participants do not register for this course location(Required)