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Instructions for Completing Form

Please note: Beginning October 1, 2007 we will no longer accept credit cards for payment of  course fees.  We have made this decision in order to keep the costs of our courses as low as possible.  The continuing increases in merchant fees and regulation has made this decision necessary. Although it may pose a slight inconvenience, the savings will benefit all enrollees.  Thank you for understanding.   Simply print the following form and send it along with your check or money order  (no cash)  to Communicate Institute  P.O. Box 35543 Canton, Ohio 44735

Please remember our CANCELLATION and REFUND POLICY: a $50 per course deposit is required with the registration. The balance of the fee can be paid the first day of the class. The $50 deposit is non-refundable, but is transferable to register for another Communicate Institute course within one year from the date of your initial registration. The deposit cannot be transferred to another course in which you are already registered. You may find someone not already registered to take your spot and they can reimburse you for the deposit. If C.I. must cancel due to unforeseen circumstances, registrants will receive a full refund.  No Shows lose their deposit.

Although we do not anticipate having to cancel any courses, we reserve the right to do so should we not have sufficient enrollment. Specific locations and instructors are subject to change. 

Discount registrations

Substitute Discount- $30 . Must provide original letter on school letterhead from district administrator verifying your current status as a substitute.

Group Discount (4 or more registering at the same time for a $30 per person discount) must be mailed in  at the same time (one envelope ). You may print out the form and make copies for each person in your group discount to complete. Have one person collect and mail in together. group discount

**COURSE REGISTRATION FORM** 
You may use this form or  click here for a  Simple Registration Form
All courses are 3 semester hours and cost $530

Questions ?  Please call(330-833-7986) or E-mail:nku@communicateinstitute.com
Enter code # of the Course(s) you will be attending from   the schedule. Always verify the class is still listed on our schedule by checking the following links:
Winter Spring Schedule 
Summer Schedule
Fall Schedule

 
 
 

code#


 
 
 

code#
Adventures In Attitudes  (AIA) Human Relations for Educators
Prof. Enrichment Through Cooperative Learning  (CL)
LifePower (LP) Reducing Educator & Student Stress
Developing Self-Reliant People (DSP) 
Peak Performance in Communication (PP)
Time & Life Mastery (TLM)
Organizing for Teacher & Student Success
Effective Instruction (EI)
IQ-EQ  Connections: 
Embracing The Link Between Cognitive & Affective Learning
Positive Discipline (PD)
Creativity to Teach Standards (CTS)
Literacy for Learning: 
Reading & Writing Across the Curriculum (LFL) 		   From Risk to Resilience
:Strength Based Intervention (SBI) 		  
Educating for Character (EC)   Raising Student Achievement  (RSA)

PLEASE COMPLETE ALL OF THE FOLLOWING INFORMATION SO WE MAY PROPERLY PROCESS YOUR REGISTRATION !
Check one: graduate credit, non-credit
 
First Name
Last Name
Home Phone Number
(include area code)
Street 
Address
City
State
Zip Code Home E-Mail Address :
School E-mail Address (If presently employed) 
 

School District
(If presently employed)

All courses are 3 semester hours and cost $530 . You must pay a $50 deposit* per course or the full amount of $530 per course.
*Balance is due 1st day of class
 $

  Social Security Number   (Needed by University-Please separate with hyphens.)
Signature (for those mailing in this enrollment form) __________________________________
Check here if this is your first course through Communicate Institute.
Check here if group discount applies.
DID YOU COMPLETE ALL OF THE ABOVE INFORMATION SO WE MAY PROPERLY PROCESS YOUR REGISTRATION ?
 
Mail this form, and your check or money order  to the address below.
A reminder notice or confirmation will not be sent. If you wish to have confirmation sent, enclose a stamped self addressed envelope as well. Please mark the course dates/times and location on your calendar. 

Please note that all registrations are final.

COMMUNICATE INSTITUTE TRAINING AND DEVELOPMENT
P.O. Box 35543 Canton, OH 44735-5543
Phone: 330-833-7986  Fax:330-837-1724 E-mail:nku@communicateinstitute.com