Online Registration

Your Name
Address:  
 Street 1
 Street 2
 City
 State
 Zip
 Country
Organization/Affiliation
 Position
Daytime Phone
Other Phone
Fax (optional)
Email
Distance Learning Experience
(please list)

FEE

$695 (includes course materials, access to online classroom and certificate upon graduation).

FORM OF PAYMENT - Please choose 1 method of payment

Purchase Order
If Purchase Order, please supply PO#

Fax Purchase Order to: (678)839-0636, attn: Alicia Williams. Must be received within 24 hours of registration.



Credit Card
(please contact Alicia Williams at (678)839-0631 to process card.)

I will mail a check (drawn on US funds). Please make payable to:
University of West Georgia.

Mail to:
  University of West Georgia,
  attn: Alicia Williams
  Distance & Distributed Education
  Honors House
  Carrollton, Georgia 30118

Or Call: 678.839.6248 for Help.



Program Calendar

Registration Opens:
September 15, 2008

Registration Deadline:
January 9, 2009

Program Begins:
January 14, 2009

Graduation:
June 2009
Cost

Course tuition is $695, and includes course materials, access to the on-line classroom, and a certificate upon graduation.
Technical Requirements

Participants should have access to a computer with at least 32 MB preferred; a 28.8 or better modem; an internet service provider; and Netscape 4.0 or better.
Information

 e-mail Melanie Clay
Certificate Program Administrator