External Trainer Royalty Reporting Form - Consortium for Service Innovation

Name of Person Completing this Form

First Last

Email Address of Person Completing this Form*

Company Name*

Trainer(s) who conducted workshop*

First Last

Any other trainers involved in teaching workshop?

Leave blank if "NO"

First Last

Start Date of Workshop*

Workshop type*

Length of Workshop*

Number of Workshop Participants*

Workshop Audience*

Public Workshop
Private Company

For your internal use (optional)

Do you have additional workshops to report?*

No
Yes

Trainer(s) who conducted workshop*

First Last

Any other trainers involved in teaching workshop?

Leave blank if "NO"

First Last

Start Date of Workshop*

Workshop type*

Length of Workshop*

Number of Workshop Participants*

Workshop Audience*

Public Workshop
Private Company

For your internal use (optional)

Do you have additional workshops to report?*

No
Yes

Trainer(s) who conducted workshop*

First Last

Any other trainers involved in teaching workshop?

Leave blank if "NO"

First Last

Start Date of Workshop*

Workshop type*

Length of Workshop*

Number of Workshop Participants*

Workshop Audience*

Public Workshop
Private Company

For your internal use (optional)

Do you have any additional workshops to report?*

No
Yes

Trainer(s) who conducted workshop*

First Last

Any other trainers involved in teaching workshop?

Leave blank if "NO"

First Last

Start Date of Workshop*

Workshop type*

Length of Workshop*

Number of Workshop Participants*

Workshop Audience*

Public Workshop
Private Company

For your internal use (optional)

Do you have any additional workshops to report?*

No
Yes

Trainer(s) who conducted workshop*

First Last

Any other trainers involved in teaching workshop?

Leave blank if "NO"

First Last

Start Date of Workshop*

Workshop type*

Length of Workshop*

Number of Workshop Participants*

Workshop Audience*

Public Workshop
Private Company

For your internal use (optional)

Do you have any additional workshops to report?*

No
Yes

Trainer(s) who conducted workshop*

First Last

Any other trainers involved in teaching workshop?

Leave blank if "NO"

First Last

Start Date of Workshop*

Workshop type*

Length of Workshop*

Number of Workshop Participants*

Workshop Audience*

Public Workshop
Private Company

For your internal use (optional)

Do you have any additional workshops to report?*

No
Yes

Trainer(s) who conducted workshop*

First Last

Any other trainers involved in teaching workshop?

Leave blank if "NO"

First Last

Start Date of Workshop*

Workshop type*

Length of Workshop*

Number of Workshop Participants*

Workshop Audience*

Public Workshop
Private Company

For your internal use (optional)

Do you have any additional workshops to report?*

No
Yes

If you have additional trainers to renew, please submit this form and fill out a second one - or email support@thekcsacademy.net 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.

Phone

This field is for validation purposes and should be left unchanged.

Royalty Reporting Form for External Trainers