Alaska DMVA | DLC Usage Form

*Start Date & Time:

*Anticipated Usage Time:
(How much time do you plan to spend in the DLC?)

*Classroom Location:

*Command & User Type:

Other Command & User Type:

*Number Of Users:
(Groups may sign in under one user - note total number of users)

*Usage Description (Be as specific as possible and include training name, activity, etc.):

*First Name:

*Last Name:

*Phone Number:

*Email Address:

*Required Training?

Yes No

Distributed Learning Classroom Usage Form