HDC's Supported Employment 40-Hour Core Training Registration

HDC's Supported Employment 40-Hour Core Training Registration
Virtual Training*
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Self-study online class
$500.00

Total

$0.00
The fee for this 40-Hour Core Supported Employment training is $500.00 per person.
First Name*
Last Name*
Agency Name*
Participant E-mail Address*
Will be used for registration confirmation.
Optional Second E-mail Address
To receive copy of confirmation.
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Agency Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Accessibility accommodation requests/comments. (Leave blank if no accommodations are needed.)
A certificate of completion will be issued once payment is received and all identified course quizzes & assignments are completed.

Payment Options:

1. Check or money order

Checks or money orders of $500 per person can be made out to:
LSUHSC Human Development Center
Please include copy of registration information (attached to the confirmation e-mail) with payment and mail to:
LSUHSC Human Development Center
c/o Mitze Bruce Jones
Box SP-4-460
411 South Prieur Street
New Orleans, LA 70112

2. Credit card

Credit card payment of $500 per person is now accepted with a 2.95% non-refundable service fee.
Click link below which takes you to a $500 charge for HDC Supported Employment training and follow instructions.

https://commerce.cashnet.com/LSUHSCNOAH?ITEMCODE=AH-WEBHDC001

LSUHSC HDC policy is that credit toward a future class will be given if you are unable to attend. No refunds.

If you have any questions, please contact Laura Stazio (lstazi@lsuhsc.edu).
I understand that payment is due before the start of class and that I will receive no certificate until delinquent payment is received.
Please verify that you are human*
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