Success Story Submission Form : Creative Problem Solving : Critical Thinking Courses : Action Management Associates, Inc.

Success Story Submission Form

Please complete the following form to the best of your ability and select "Submit" when you are satisfied with the information. We'll contact you if we have any questions or require any clarification.

First Name: *

Last Name: *

Email: *

Company Name: *

Company Phone: *

Company Address:

Company City:

Company State:

Company Zip:

Workshop Name:

Workshop Date(mm-dd-yyyy):

Your Instructor's Name:

Briefly describe the opportunity / problem (limited to 1000 characters):

Briefly describe the solution and the process you used (limited to 1000 characters):

Describe how the process helped you (limited to 1000 characters):

Estimate Annual Dollar Impact (limited to 100 characters):

Your Manager's Name:

Your Manager's Phone: