Registration | National Training Center

NOTE: If you have been notified by your Diversity or Human Resources Department that you need to take one of the National Training Center’s eLearning courses, you have already been registered.

Name*
Prefix First Middle Last
Professional Designations, if any
Title*
Organization*
Number of Years at Organization*
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
1) Invoice my organization in full ($99)
- Yes
Name of Organization
Address
Street Address Address Line 2 City State ZIP Code
Attention of
Prefix First Middle Last
Title
2) Pay by check in full ($99)
- Yes
Please make check payable to National Diversity Council and mail to:

National Diversity Council
National Training Center
c/o Jason deGroot
1301 Regents Park Dr Suite 210
Houston, TX 77058

NOTE: Your registration will not be valid until the National Training Center has processed your check
3) Pay by Credit Card in full ($99)
- Yes
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Topics of Interest*
- May 19, 2021 - Systemic Racial Scaffolding: How It Influences Organizations
Topic of Interest Section
Please select your desired training method:
Topic of Interest Section
Please list your topic(s) of interest
Total
$0.00
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