Cybersecurity Academy Course Request

All fields except 'Comments' are required. If you do not receive an email titled, "Welcome to your Palo Alto Networks Cybersecurity Academy Course" within 72 hours, please check your spam or junk folder.
NOTE: If this is your first time requesting a course, please only submit one course request, wait 48 hours to receive your confirmation email containing new user account information, then proceed to fill out additional course request forms as needed. Only faculty members or administrators at PAN Academies are authorized to request courses. If your institution is not already a PAN Academy, please fill out an academy application. Questions? Contact academy support at academy@paloaltonetworks.com.

Country:

State / Province:

Please provide an abbreviated Institution name, 20 characters or less. Only letters and numbers are allowed - NO special characters such as "&".

Institution:

Faculty First Name:

Faculty Last Name:

Faculty Email:

Institution URL:

The full URL to the institution is needed. Example: https://paloaltonetworks.com.

Course Selection:

Course Category:

If your course has a custom title or description please include that information here (25 characters or less)

Institution Course Description:

Term Course Will Be Delivered:

Requested Course Start Date:

Number of Students Enrolled in Course:

Comments:

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