Your College Name Here

You can only register for one class at a time.

Submit one registration, then click the back button to register for more classes.

Courses*

Communicating for Effective Interviewing ~ 4/27/17, 9am-12pm Wall Campus Room 126BMS Excel Level 1 ~ 5/4/17, 9am-5pm Wall Campus Room 110MS Excel Level 2 ~ 5/11/17, 9am-5pm Wall Campus Room 110MS Powerpoint Level 1 ~ 5/16/17, 9am-5pm Wall Campus Room 110MS Excel Level 3 ~ 5/18/17, 9am-5pm Wall Campus Room 110MS Powerpoint Level 2 ~ 5/23/17, 9am-5pm Wall Campus Room 110Resolving Conflicts With Others ~ 5/24/17, 9am-12pm Wall Campus Room 127MS Access Level 1 ~ 5/25/17, 9am-5pm Wall Campus Room 110

First Name*

Last Name*

Your Email*

Date of Birth

Date

Job Title*

Your Wage Code*

Employer/Company Name*

Federal Employer ID Number*

Manager"s E-Mail Address*

Manager"s Phone Number*

Street Address*

City*

State*

Zip Code*

County*

ELECTRONIC SIGNATURE

In the case of incliment weather, visit www.brookdalecc.edu. 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 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.

Your Initials*

Tuition Free Computer Training