Registration

Please submit this page only once!

Last Name:
First Name ( As it is to appear on your certificate (no "nicknames," please.)
Role (Director, Test Administrator, Instructor, etc.
Organization/Community College
Direct Supervisor:
Email Address
Phone Number:
What training will you attend for CASAS Piedmont Region beginning September 15?: New Users DD ESL
Should you plan to attend, please download and save this additional information before you submit your registration. It contains materials for your review. Acknowledge that you have downloaded the form: Yes No
After submitting, please print the next page for your records!

Updated by Judy Howell Wednesday, January 11, 2012 12:25:33 PM