Administrative Professional Certificate Program Enrollment Form

Administrative Professional Certificate Program
Enrollment Form

Please accept this enrollment to the MARC's Government Training Institute Administrative Professional Certificate Program.

Name: _____________________________________________________________________________________________________

Title: __________________________________________ Department: ________________________________________________

Agency: ____________________________________________________________________________________________________

Address: ___________________________________________________________________________________________________

City: _________________________________________________ State:____________________________ Zip: _______________

Work Phone: ____________________ Fax:____________________ Email: ____________________________________________

To receive the administrative professional certificate, you must complete the three coure courses plus two electives for a total of 28 hours.

Core Courses	CEUs	Already Completed	Please Enroll Me (fill in training date)
Bring Out the Leader Within	7 hours	_____	_____________________________________
Dynamic Communication Skills	7 hours	_____	_____________________________________
Understanding Yourself and Others	7 hours	_____	_____________________________________
Elective Courses (choose two)
Outlook: More than E-mail	3.5 hours	_____	_____________________________________
Resolving Conflicts with C.L.A.S.S.	3.5 hours	_____	_____________________________________
Survival Skills for Stressful Times	3.5 hours	_____	_____________________________________
Time Mastery: From Chaos to Control	3.5 hours	_____	_____________________________________

Return form to Government Training Institute, Mid-America Regional Council, 600 Broadway, Suite 200, Kansas City, MO 64105-1659 or fax to 816/421-7758.