Course Application

Cost: $395

A valid credit card is required for completion of the online registration form.

Personal Information

* Fields are required for your Registration to be filled

Title  
First Name*  
Last Name*   
Position   
Organization  
Address*   
Address (cont.)   
City*   
State   
Zip*   
Country  
Tel #*  
Fax #   
E-mail*
Confirm E-mail*  

Registration Information

* Fields are required for your Registration to be filled

Size of Student Body*  
Under 1,000 1,000-2,499 2,500-4,999
5,000-9,999 10,000-19,999 Over 20,000
 

Type of Institution *   

Private, non-profit Private, for-profit Public
2-year 4-year 4-year + grad Professional
For how many years have you been an admissions officer?*   
Do you have any previous experience as an online learner?*   
Yes No
If you answered yes, please provide details and comments.  
What is your comfort level with using the Web?*   
Very Comfortable Moderately Comfortable Not Comfortable
Please explain why you want to take this course.  *

To benefit as intended from course activities, participants are asked to set aside approximately 8-10 hours per week for reading, writing, reflection, and online discussion during each of the six weeks the course is in session. If selected as a participant, do you agree to meet this commitment?  
Yes No Unsure

If this course is full, would you like to be notified of future enrollment opportunities?
Yes No

List two specific questions (15 words apiece) you would like answered in this course.

Course Fee: $395.00


* Fields are required for your Registration to be filled