Your College Name Here

Camden County College

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COURSE SELECTION

Please select a course you would like to attend. If you are interested in attending a class that is no longer visible on this form, please call 856-227-7200 Ext. 4048 or e-mail: ctraining@camdencc.edu to determine if there is a waiting list or the class is cancelled. An email confirmation will be sent prior to the class. For course descriptions, click here .

Courses *

Excel 2013-Level I, 10/3/17, 8:30am to 5:00pm, Rohrer Center, 1889 Route 70 East, Cherry Hill NJ*Excel 2013-Level I*10/3/17*10/3/17*8*Camden County College*Open PowerPoint 2013-Level II, 10/12/17, 8:30am to 5:00pm, Rohrer Center, 1889 Route 70 East, Cherry Hill NJ*PowerPoint 2013-Level II*10/12/17*10/12/17*8*Camden County College*Open Verbal Communications-Supervisory Skills for New Supervisors, 10/19/17, 8:30am to 3:00pm, Rohrer Center, 1889 Route 70 East, Cherry Hill NJ*Verbal Communications-Supervisory Skills for New Supervisors*10/19/17*10/19/17*6*Camden County College*Open E-mail Etiquette, 10/25/17, 8:30am to 12:30pm, Rohrer Center, 1889 Route 70 East, Cherry Hill NJ*E-mail Etiquette*10/25/17*10/25/17*4*Camden County College*Open Excel 2013-Level II, 11/2/17, 8:30am to 5:00pm, Rohrer Center, 1889 Route 70 East, Cherry Hill NJ*Excel 2013-Level II*11/2/17*11/2/17*8*Camden County College*Open PowerPoint 2013-Level I, 11/9/17, 8:30am to 5:00pm, Rohrer Center, 1889 Route 70 East, Cherry Hill NJ*PowerPoint 2013-Level I, 11/9/17*11/9/17*8*Camden County College*Open Time Management Boot Camp, 11/8/17, 8:30am to 5:00pm, Rohrer Center, 1889 Route 70 East, Cherry Hill NJ*Time Management Boot Camp*11/8/17*11/8/17*8*Camden County College*Open The Extraordinary Leader, 11/15/17, 8:30am to 3:00pm, Rohrer Center, 1889 Route 70 East, Cherry Hill NJ*The Extraordinary Leader*11/15/17*11/15/17*6*Camden County College*Open For Camden County College Use Only

YOUR PERSONAL INFORMATION

First Name *

Last Name *

Social Security Number

Your Email *

Your Phone Number *

Date of Birth

Date

Job Title *

Your Address

Your City

Your State

Your ZIP

Your Wage Code *

A=$10/hour or less B=$11-$15/hour C=$16-$20/hour D=$21-$24/hour E=$25/hour or above

Ethnicity

Asian American/Asian/Pacific Islander Black/African American/African Hispanic/Latino/Chicano/Spanish Native American/American Indian/Alaska Native White/Caucasian/European

EMPLOYER NAME & ADDRESS

Employer Name *

Federal Employer ID Number *

DUNS Number

Street Address *

City *

State *

Zip Code *

County *

Manager"s E-Mail Address

Manager"s Phone Number

ELECTRONIC SIGNATURE

Please read carefully and sign below.

The following statement is in accordance with the Higher Education Act. I grant permission to the College and NJ Community College Consortium for Workforce & Economic Development & Member Colleges to share information including the transfer of grades, credits, and other academic records, where applicable, among other organizations and/or agencies/businesses that provide funding for this training. I have secured my employer"s approval for attending this course in accordance with the company policy and NJ Department of Labor (funding agency) regulations. College Cancellation Policy: If I am unable to attend the class I registered for, I must notify the College at least seven business days prior to the class date. I understand that if I do not cancel within this time period, my employer or I may incur a $100 cancellation fee. I understand that I have the option to send an eligible participant to attend the class in my place. I will contact the College with the replacement"s contact information within 48 hours before the class date.

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