<% '*********************** '** ASP PAGE VARIBLES ** '*********************** headerimage = "hdr-main.jpg" %> Training Request Form - UAMS

Registration Request Form

Training and Events - Office of Human Resources

To request registration for a course, please complete the form below.  Your registration will be confirmed once payment is received.  Please see course catalogue for applicable prices. An invoice will be sent to you within 5 business days of your request being received.
 

Date of Request (mm/dd/yyyy)   

Participant Information
First Name Last Name

SAP# Position Title  

Department Department Slot #  

Work Phone #  Work Fax #

Are you a returning participant?

Course Information
Course Name (title) and Date/Time:

Invoicing
An invoice will be sent via e-mail to the person you indicate here: First and Last name

Management Academy Alumni? Management Academy graduation date:

You will receive notice of successful submission of this form after clicking 'Submit'. If this notice does not appear, please contact training and events.

Please pay for registration through an IDT to account# 112-1000201 to Latricia (Trish) Richards.  Indicate on the IDT the name of the participant attending the course.

For pricing and location information, please visit the Course Catalogue and Schedule page.