USC: Division of Human Resources Professional Development Office: Registration Form


	BENEFITS
	EMPLOYEE RELATIONS
	EMPLOYMENT
	INTERNATIONAL SUPPORT FOR FACULTY AND STAFF
	PROFESSIONAL DEVELOPMENT
	SALARY ADMINISTRATION

Organizational and Professional Development Class Registration Form * Required Fields
Name:	*
Phone number:	*
Email Address:	*
Department Name:	*
Department Number:	Required for fee-based workshops.
Fund to be Billed:	Required for fee-based workshops.
Employee or Student?	Faculty/Staff Student
Supervisor?	YES* NO

1. Course Name:	*
Course Date:	*
Course Time:

2. Course Name:
Course Date:
Course Time:

3. Course Name:
Course Date:
Course Time:

4. Course Name:
Course Date:
Course Time:

5. Course Name:
Course Date:
Course Time:

6. Course Name:
Course Date:
Course Time:

Would you like to be added to the Training listserv and receive information about upcoming workshops? Yes No
By submitting this form for registration, I certify that approval to attend this workshop and approval to pay any associated fees have been obtained from my supervisor.

For questions concerning Organizational and Professional Development classes or this form, please call (803) 777-6578. Workshop no-shows will be billed unless prior cancellations are confirmed in writing 48 hours prior to the workshop. Substitutions are welcomed. Please contact Organizational and Professional Development prior to the date of a program if special accommodations are needed for employees with disabilities.