Western Kentucky University

CWD: Training Consortium of South Central Kentucky

Class Registration Form

Onsite (classroom) Courses

1st Quarter, 2013

• You will receive confirmation of your registration via e-mail.
IMPORTANT: You must use the drop-down menus to fill in the registration form.

STEP 1:
STEP 2:
  (Used to fill in the course and company information)

Submit this form ONCE for EACH employee being registered.


(Leave blank if not known.)
The employee is a Kentucky Resident.
(Leave blank if not known.)
 
(if any):*
(Optional):
By checking this box, I certify that the enrolled employee has given permission for his/her name to be viewed in class enrollment reports. No other personal information will be listed in enrollment reports. (NOTE: The form cannot be submitted unless this box is checked.)
    
*NOTE: Please fill out "Number of employees waiting to enroll" ONLY on your 5th employee enrollment, during the 2-week limited enrollment time period. This will help prevent an over-estimation of additional training needs.
 Last Modified 7/22/13