External Trainer Royalty Reporting FormLinkedInThis field is for validation purposes and should be left unchanged.Name of Person Completing this Form(Required)Email Address of Person Completing this Form:(Required) Company Name:(Required)Trainer(s) who conducted workshop(Required)List all Certified trainers who taught (not trainer-candidates)Start Date of Workshop:(Required) MM slash DD slash YYYY Workshop Type:(Required)KCS v6 PracticesKCS v6 OverviewKCS v6 Design SessionKCS v6 Practices/Design ComboKCS v6 Leadership WorkshopIntelligent SwarmingKDA WorkshopLength of Workshop:(Required)½ day1 day1.5-3 days3-5 daysNumber of Workshop Participants:(Required)Workshop Audience:(Required) Public Workshop Private CompanyFor your internal use (optional)For your internal use (optional)Do you have additional workshops to report?(Required) No YesTrainer(s) who conducted workshop(Required)List all Certified trainers who taught (not trainer-candidates)Start Date of Workshop:(Required) MM slash DD slash YYYY Workshop Type:(Required)KCS v6 PracticesKCS OverviewKCS Design SessionKCS Leadership WorkshopIntelligent SwarmingKDA WorkshopLength of Workshop:(Required)½ day1 day1.5-3 days3-5 days (if includes a Design Workshop)Number of Workshop Participants:(Required)Workshop Audience:(Required) Public Workshop Private CompanyFor your internal use (optional)For your internal use (optional)Do you have additional workshops to report?(Required) No YesTrainer(s) who conducted workshop(Required)List all Certified trainers who taught (not trainer-candidates)Start Date of Workshop(Required) MM slash DD slash YYYY Workshop Type(Required)KCS v6 PracticesKCS OverviewKCS Design SessionKCS Leadership WorkshopIntelligent SwarmingKDA WorkshopLength of Workshop(Required)½ day1 day1.5-3 days3-5 days (if includes a Design Workshop)Number of Workshop Participants(Required)Workshop Audience(Required) Public Workshop Private CompanyFor your internal use (optional)For your internal use (optional)Do you have any additional workshops to report?(Required) No YesTrainer(s) who conducted workshop(Required)List all Certified trainers who taught (not trainer-candidates)Start Date of Workshop(Required) MM slash DD slash YYYY Workshop Type(Required)KCS v6 PracticesKCS OverviewKCS Design SessionKCS Leadership WorkshopIntelligent SwarmingKDA WorkshopLength of Workshop(Required)½ day1 day1.5-3 days3-5 days (if includes a Design Workshop)Number of Workshop Participants(Required)Workshop Audience(Required) Public Workshop Private CompanyFor your internal use (optional)For your internal use (optional)Do you have any additional workshops to report?(Required) No YesTrainer(s) who conducted workshop(Required)List all Certified trainers who taught (not trainer-candidates)Start Date of Workshop(Required) MM slash DD slash YYYY Workshop Type(Required)KCS v6 PracticesKCS OverviewKCS Design SessionKCS Leadership WorkshopIntelligent SwarmingKDA WorkshopLength of Workshop(Required)½ day1 day1.5-3 days3-5 days (if includes a Design Workshop)Number of Workshop Participants(Required)Workshop Audience(Required) Public Workshop Private CompanyFor your internal use (optional)For your internal use (optional)Do you have any additional workshops to report?(Required) No YesTrainer(s) who conducted workshop(Required)List all Certified trainers who taught (not trainer-candidates)Start Date of Workshop(Required) MM slash DD slash YYYY Workshop Type(Required)KCS v6 PracticesKCS OverviewKCS Design SessionKCS Leadership WorkshopIntelligent SwarmingKDA WorkshopLength of Workshop(Required)½ day1 day1.5-3 days3-5 days (if includes a Design Workshop)Number of Workshop Participants(Required)Workshop Audience(Required) Public Workshop Private CompanyFor your internal use (optional)For your internal use (optional)Do you have any additional workshops to report?(Required) No YesTrainer(s) who conducted workshop(Required)List all Certified trainers who taught (not trainer-candidates)Start Date of Workshop(Required) MM slash DD slash YYYY Workshop Type(Required)KCS v6 PracticesKCS OverviewKCS Design SessionKCS Leadership WorkshopIntelligent SwarmingKDA WorkshopLength of Workshop(Required)½ day1 day1.5-3 days3-5 days (if includes a Design Workshop)Number of Workshop Participants(Required)Workshop Audience(Required) Public Workshop Private CompanyFor your internal use (optional)For your internal use (optional)Do you have any additional workshops to report?(Required) No YesIf you have additional trainers to renew, please submit this form and fill out a second one – or email support@serviceinnovation.org for assistance. By submitting this form, you understand that the information you have provided here may be subject to audit. You will receive a copy of this form for your records.Δ