E-learning Module Customization Request Form Template

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1.
Full Name
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2.
Email Address
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3.
Organization Name
*
4.
Module Name
*
5.
Type of Customization Needed[Checkboxes]
Content Revision
Visual/Design Update
Assessment Integration
Localization/Translation
Other
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6.
Please Describe Your Customization Request
7.
Preferred Completion Date
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