Prefix First Name Last Name
Home Address Home Address Line 2
City   State/Province Specify "Other" State Zip/Postal Code
Home Phone Cell Phone
Other Phone Citizenship:
(for Lean Six Sigma Green/Black Belt classroom/online program only - this question is required as classroom portion takes place on premises of US Government defense contractor).
Email address Re-enter Email address
   
Question or Comments (Please be specific)

Subject to Approval of My Workforce Grant, I wish to take the following program(s)
(note: normally, a maximum of two (2) certificates may be pursued; for the purposes of this policy, the "Combination Programs" referenced below count as 2.)
Administrative Assistant Skills Project Management Dual Certificate (includes Primavera P6 Training)
Budget Accounting & Financial Management
Business Ethics, Law and Code of Conduct
Call Center & Customer Service Excellence Supervision
Call Center & Customer Service Management Web Design & Development
Human Resources Management

Combination Programs - If you are pursuing:
Advanced/Applied Cert. in HR Management:
Check Here and also check off the second certificate you're taking.

Advanced/Applied Cert. in Project Management:
Check Here and also check off the second certificate you're taking.

Advanced/Applied Cert. in Quality Management:
Check Here and also check off the second certificate you're taking.

Applied Cert. in Budget Accounting & Financial Management:
Check Here and also check off the second certificate you're taking.

Applied Cert. in Business Management:
Check Here and also check off the second certificate you're taking.

Applied Cert. in Marketing Management:
Check Here and also check off the second certificate you're taking.

Certificates in Marketing and Sales Management:
Check Here

Certificates in Project and Quality Management:
Check Here
Intro to Process Improvement - Lean & Six Sigma (Green Belt Level)
Process Improvement: Lean - Six Sigma (Black Belt Level Certificate)
IT Management
Managerial & Executive Leadership
Lean Six Sigma Black Belt Training (Classroom + Online)
Lean Six Sigma Green Belt Training (Classroom + Online)
Management
Managing Professionals
Marketing Management
Pre-MBA
Professional Sales I
Professional Sales II
Professional Sales Management
Project Management

Important: Please complete the following information:

One-Stop Career Center (City/Town): Counselor Name:


Counselor's E-Mail: Phone: Fax:

Affirmation: By clicking the "Submit Registration" Button below, I affirm that I have read, understand and agree to comply with the Program
Policies and Procedures found at http://imed.rutgers.edu/online-policy.html. (Lean & Six Sigma Policy: http://imed.rutgers.edu/lean-six-sigma-policy.html) Furthermore, I understand and agree that notwithstanding the Online Access Timeframes contained in the Policy, I will comply with the schedule for completion of my online and other coursework as specified in my Letter of Acceptance, if more restrictive.

Before clicking "Submit Registration" button, please type the 2 words you see in the box provided:

 
 
It is the policy of the Rutgers the State University of New Jersey not to discriminate on the basis of sex, age, handicap, race, color, national and ethnic origin or sexualorientation in its education programs, admissions policies, employment policies, financial aid programs and other school administered programs.© 2009 Rutgers the State University of New Jersey

Registration Form for Publicly-Funded* Registrants

*The purpose of this form is to formalize your request to register in one or more of our approved, continuing-education certificate programs; this form is for use by individuals who are applying for a Workforce Grant (or similar funding) through their local One-Stop Career Center, DVR or Trade Act Representative.

Questions? Please call us, 9:00 AM - 4:00 PM Eastern Time, Monday - Friday: (856) 225-6685 / or inquire via email

Please complete all fields.

Online Management Training Certificate Program
and Lean & Six Sigma Training Program