EmployerU Registration Form

I am registering for*

If you are nominating someone for the Young Professionals Institute, or self-nominating, please select "Young Professionals Institute (YPI)."

Please complete the following form if you are nominating someone for YPI, or self-nominating. If self-nominating, put your own email in the Nominator's Email field.

Hidden

Registration Date*

VESi Registration Form

Click here to register for VESi on their website.

Name*

First Last

Job Title*

Phone*

Email*

Employer

Employer Address*

Street Address Address Line 2 City State ZIP Code

Nominator's/Supervisor's Name & Title*

Nominator's Email*

Please Note

By submitting this form, you agree to pay the registration fee should you/your employee be selected to participate in this course. You also agree that you are/your employee is committing to attend all 8 course sessions. Participants will be asked to sign a photo release form during the first session of the Institute.

Thank you for registering for this free community program. All attendees are eligible for a raffle for a $25 gift certificate to Shop N Save. (One winner per session will be selected randomly.)

Course Options*

"Fundamentals in Human Resources"; Saturday, Mar 25th; Sunday, Mar 26th, and Saturday, Apr 8th; from 9am to 4pm at the MMG Center at the UMPI Campus

Certificate Option

Please select the certificate option you are working towards.

General Management
Human Resources
Customer Satisfaction

Please Note

By submitting this form, you agree to pay the registration fee through check or credit/debit card payment. Please look out for an email providing more information on how to pay.

Email

This field is for validation purposes and should be left unchanged.