Coned Registration Form

Registration Instructions:

Fill in the blanks below. Those marked with an * are mandatory. When complete, click on the submit button. If you have any problems registering, please call the Training Coordinator at (252) 738-3345
       
*Course Title: Enter the name of the course for which you are registering. Please type it in just as it appears on the course listing.
* Last Name:    
*First Name:    
*Email Address:
   
Demographic Information
Gender:
Race/Ethinic Background:
Highest Education:
North Carolina Resident:    
*County of Residence:    
Employment:    
Employer:    
       
On the payment page under comments type the course name you have registered for.