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Course Registration Form
Click in the text areas to complete this form;
then print a copy to submit to your Department Training Registrar.
HRDA Course
CNAS/Satellite Course
# of Training Hours
1st Choice
Date
Time
Location
Is this during your normal work hours?
2nd Choice
Date
Time
Location
Is this during your normal work hours?
Name
Employee ID#
Title
Dept./Div
Phone
FAX
Supervisor's
Signature
Date
Dept./Div
Approval
Date
Training
Registrar
Date Sent
If cost is indicated next to course title, bill to Account #
Reasonable Accommodation:
Contact your Department Training Registrar prior to the training.
Questions about training courses
: Call Camille King at 352-2464.
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