Local Government Customer
Service Certificate Program
Registration Form
Name: _____________________________________________________________________________________
Title: __________________________________________ Department: ________________________________
Agency: ____________________________________________________________________________________
Address: ___________________________________________________________________________________
City: __________________________________________ State:____________________ Zip: ______________
Work Phone: _______________ Fax:_______________ Email: ______________________________________
To receive the Customer Service certificate, you must complete the five core courses, plus your choice of two electives for a total of 32 hours. Please pre-select dates for the classes you plan to attend. If you have a conflict with a future class date, contact our office to reschedule. Thank you!
| Classes Required for Program | Date Class will be Taken |
| Becoming Fantastic Fixers | |
| Dealing with Customers from $*#*% | |
| Delivering Unbeatable Customer Service | |
| Understanding Yourself and Others | |
| Serving a Diverse Population | |
| Select Two of the Six Elective Classes | Date Class will be Taken |
| Resolving Conflicts with C.L.A.S.S. | |
| Serving the "Invisible" Internal Customer | |
| Survival Skills for Stressful Times | |
| Image Essentials | |
| Personal Accountability | |
| Time Mastery |
I authorize MARC to bill our agency for the cost of the Customer Service Certificate Program.
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.