Continuing Education Registration Form

Fields marked by * are required.

Library Type: Academic Public School Special     Regional Affiliation: SEMLS BRLS CMRLS MMRLS NMRLS WMRLS

Mailing Address:

City/Town:

Zip:

Phone:  Fax:

Email:

*Workshop Requested (one form for each request):

*Workshop Date:    *Location:

Directions Needed?

*Name of Person Attending (one form for each person):

If a level of proficiency is required to take the course, please be sure you meet that level.  See guidelines for specifics.

Do you want a Certificate of Attendance?