JAN Accommodation and Compliance Web Training Series

Job Accommodation Network
Web Training

Registration Form

All registrants will receive training materials for each session, which will be sent via e-mail three to five business days prior to the scheduled event. These materials will be in an accessible format and may include Microsoft Word and PowerPoint, as well as Adobe PDF files.

Any registered participant who does not have access to e-mail should indicate this at the time of registration, and training materials will be sent via postal mail. When requesting postal mail, please indicate if alternate format (large print, computer file, or Braille) is needed and what format you prefer. One set of materials will be mailed per registration.

The fee for each webcast is $35.00 per computer accessing the training. Payment may be made via MasterCard, Visa, or Discover by contacting the Registration Coordinator at 800-526-7234 and choose Option 5 (Voice). All fees must be paid prior to the event.
Checks should be made payable to WVU Research Corp.

Registration Coordinator
Job Accommodation Network
West Virginia University
P.O. Box 6080
Morgantown, WV 26506-6080
800-526-7234, Option 5 (Voice)
877-781-9403 TTY
304-293-5407 FAX
E-Mail: training@jan.wvu.edu

Ways to register:

1. Online. Please fill out the form below and click the submit button once to register.

2. Mail or Fax. You may print this form or download a text file to fill out, then mail or fax your completed registration form to the Registration Coordinator.

* indicates required information.

*Contact Name:	First: Last:
Title:
Organization:
*Street:

*City:
*State:
*Zip/Postal Code:
Phone:
Fax:
*E-mail:

Billing Information Complete only if different from the information above.
Billing Contact:	First Name: Last Name:
Billing Address:

Billing City:
Billing State:
Billing Zip/Postal Code:
Billing Phone:
Billing Fax:
Billing E-mail:

Method of Payment: Note: Please do not enter your credit card number on this form.	Credit Card (Visa / MasterCard / Discover Card / American Express) Check/Money Order ACH
	Government Purchase Order. For Purchase Orders, Please Enter Purchase Order Number Here:

Please check each box you want to register for:

Cost	Register	Date	Time	Title
$35.00		10/9/2007	2:00pm EST	US BLN Best Practices
$35.00		11/13/2007	2:00pm EST	Hiring and Accommodating Veterans with Disabilities
$35.00		12/11/2007	2:00pm EST	The LEAD (Leadership for the Employment of Americans with Disabilities) Initiative
$35.00		1/8/2008	2:00pm EST	K-12 and Beyond: Booz Allen Hamilton Emerging Leaders Internship Program
$35.00		2/12/2008	2:00pm EST	"Current Events" in Job Accommodation
$35.00		3/11/2008	2:00pm EST	Chemical Sensitivities in the Workplace
$35.00		5/6/2008	2:00pm EST	Accommodating Employees with Psychiatric Impairments
$35.00		7/8/2008	2:00pm EST	ADA Update with EEOC and JAN
$35.00		8/12/2008	2:00pm EST	TBA
If you register for 6 or more webcasts at one time, you will get a $35 discount!		Is Captioning Required? Yes No

Please send your registration to the Registration Coordinator.
Please make checks payable to WVU Research Corp..
You may use credit cards by contacting the Registration Coordinator.