Custom Program Inquiry Form
Contact Information
Organization Name
Primary Contact First Name
Primary Contact Last Name
Primary Contact Title
Email
Phone
Website
Organization Details
Type of Organization
Please select...
Government Agency
Corporation / Private Sector
Nonprofit / NGO
Educational Institution
Other
Please specify other type of organization
Size of Organization (Number of Employees)
Please select...
1–50
51–200
201–500
501–1,000
1,000+
Industry / Sector
Program Details
Subject Matter or Focus Area(s) of Interest
Preferred Program Format
Please select...
In-Person at Penn Carey Law (Philadelphia, PA)
In-Person at Client Location
In-Person at Other Location
Live Online
Hybrid
Specify city/country for client location
Specify other location preference (name/address)
Preferred Program Length
Half-Day
1 Day
2–3 Days
4+ Days
Other
Specify other program length
Estimated Number of Participants
Will all participants be in the same location?
Yes
No
Not sure yet
Are there specific Penn Carey Law faculty or speakers you are particularly interested in working with?
No preference
Yes
Please list specific faculty or speakers
Budget & Logistics
Do you have a per-person budget, a total program budget, or both?
Please select...
Per-person budget
Total program budget
Both per-person and total program budget
Per-person budget amount ($)
Total program budget amount ($)
Desired Program Date(s) or Timeframe
Additional Information
Please share any specific goals, challenges, or outcomes you hope to achieve through this program
How did you hear about Penn Carey Law Custom Programs?
Please select...
Penn Carey Law Website
Email Outreach
Social Media (LinkedIn, Facebook, Instagram, etc.)
Referral
Event / Conference
Other
Please specify referral source
Please specify event or conference
Please specify other source
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