UCLA Extension

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Contact UCLA Extension today for more information!

phone-call_318-62608  +1 (310) 206-4149

opened-email-envelope_318-44146  customprograms@unex.ucla.edu 

Do you have a custom program you wish to develop?  Complete the form below to receive more information regarding your program. Fields marked with an asterisk (*) are required.

Please note that while UCLA Extension can provide preliminary schedules and price quotes, it does not provide detailed program proposals without a confirmed group of program participants. Please provide specific information wherever possible.

Contact Information:

*Country (required)

*First | Given Name (required)

*Last Name (required)

*Email (required)

*Verify Email (required)

Title

Organization Name

Daytime Phone

*Your email Subject (required)

*Your message (required)

Program Information:


Number of Participants

Custom Program venue

Estimated program dates
From

to


Description of participants (i.e. full time students, executive VPs from finance industries, high school language teachers…)


What is the Central Area of Interest?

What specific topic(s) should be covered in the program?
(provide as much detail as possible)


Will an interpreter be required for the program?

Are there existing UCLA Extension courses that you are interested in tailoring for your custom program?


Program Objective:

What should participants gain from attending the program?
What is the learning objective or program goal?

Do you want participants to receive a UCLA Extension Official Record of Participation at the completion of the program?

How did you hear about UCLA Extension's custom programs?


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