MSU Virtual University
NPJS/CRPD Pre-Service On-Line Training
Mail Registration

Please print this registration form and send it, with a check, purchase order, or money order for $98 made out to Michigan State University, to the MSU Virtual University address below. 

After printing the form, click here to return to the Pre-Service Training preview page.
Program Starting Date: January 2002 - present

 

Facility Information:

Contact Name: _____________________________________________________
Facility Name: _____________________________________________________
Address: _____________________________________________________
_____________________________________________________
Telephone: _____________________________________________________
FAX: _____________________________________________________
E-mail: _____________________________________________________

Individual registrants should contact their agency for registration information.


 

Please send this enrollment form, along with your check, purchase order, or money order for $98 made payable to Michigan State University to the following address:

Virtual University
101 Wills House
Michigan State University
East Lansing, MI 48824
Fax: 517-432-0717

Thank you for enrolling in MSU's Virtual University NPJS/CRPD Pre-Service On-Line Training course.

(c) 2007 Michigan State University Board of Trustees
last updated: July 2007