Class Registration Form

Onsite (classroom) Courses

1st Quarter and 2nd 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: Select the classroom (ONSITE) class you are interested in: Writing Effective E-mails and Memos, 0000-00-00, Introduction to Excel 2010, 2013-02-05, 1:00pm - 5:00pmIntermediate Excel 2010, 2013-02-12, 1:00pm - 5:00pmPrinciples of Good to Great, 2013-02-14, 8:00am - 12:00pmAdvanced Excel 2010, 2013-02-19, 1:00pm - 5:00pmCuring negativity in the workplace - An attitude virus, 2013-02-20, 8:00am - 12:00pmSupervising Former Peers, 2013-03-05, 8:00am - 12:00pmUnderstanding Japanese Culture, 2013-03-06, 8:00am - 12:00pmIntroduction to Access 2010, 2013-03-07, 1:00pm - 5:00pmIntermediate Access 2010, 2013-03-19, 1:00pm - 5:00pmHabits of Successful People, 2013-03-20, 8:00am - 12:00pmCustomer Service, 2013-03-26, 8:00am - 12:00pmHabits of Successful People, A Follow-up Workshop, 2013-03-28, 8:00am - 12:00pmOvercoming a Culture of Entitlement, 2013-04-03, 8:00am - 12:00pmAdvanced Access 2010, 2013-04-11, 1:00pm - 5:00pmIntroduction to Excel 2010, 2013-04-16, 1:00pm - 5:00pmCoaching, 2013-04-18, 8:00am - 12:00pmIntermediate Excel 2010, 2013-04-23, 1:00pm - 5:00pmAdvanced Excel 2010, 2013-04-30, 1:00pm - 5:00pmCultural Competency, 2013-05-02, 8:00am - 12:00pmIntroduction to PowerPoint 2010, 2013-05-21, CancelledAdvanced Excel II , 2013-06-04, 1:00pm - 5:00pmCommunication Mystery, 2013-06-12, 8:00am - 12:00pmEmotional Intelligence, 2013-06-19, 8:00am - 12:00pmAfter All, You are the Supervisor, 2013-06-27, 8:00am - 12:00pm
STEP 2: Select your company AEP Industries, Inc.Bando USA, INC.BendixBerry PlasticsBlackhawk CompositesBluegrass Supply Chain ServicesCannon Automotive SolutionsCasco Products Corp.Chamber of CommerceCity of Bowling GreenCommonwealth-Altadis, Inc.Community Action of Southern KentuckyCountry Oven BakeryDelta Faucet-MorgantownFederal MogulFort Dearborn, Inc.Friends of L&N Depot, Inc.Fruit of the LoomGeneral MotorsHalton CompanyHeathCo, LLCHennessy/Bada DivisionHolley Performance Products, Inc.Insurance SpecialistsKapstone Container Corp.KIRIU USAKobe AluminumKY Chrome WorksLORD CorporationNASCONew Mather Metals, Inc.Pan-OstonPerdue Farms, Inc.RC ComponentsSCA Personal CareShiloh IndustriesSouthern FoodsStewart-RicheyStoody CompanySumitomoSun Products Corp.TopuraVentra PlasticsWKU-DELOWoodcraft Industries
	(Used to fill in the course and company information)

Submit this form ONCE for EACH employee being registered.

Name of Employee being registered: (Leave blank if not known.)
The employee is a Kentucky Resident. (Leave blank if not known.)	YES NO
Course Name:
Date of Course:
Day of Course:
Time of Course:
Company Name:
Company Contact Telephone Number:
Company Contact Email Address:
Number of additional employees waiting to enroll (if any):*
Additional Comments (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.