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Registration Form - Fall 2021 Virtual Supervisor/Manager Academy

Fall 2021 Academy Registration Information

Thank you for your interest in attending the Regional Government Services Supervisor/Manager Academy! This training will include hands-on skill building and individual goal setting designed to increase your effectiveness in leading people.

To register for the Fall 2021 Virtual Supervisor/Manager Academy, please fill in the information below and respond to the questions.

1. Your Name: *This question is required.

2. Your Agency: *This question is required.

3. Your Email Address: *This question is required.

4. Your Phone Number: *This question is required.

5. Please select the answer below that indicates who you are registering for: *This question is required.

Please list the names and emails of all employees you are registering for the class. If you need to register more than , enter additional names, emails, and phone numbers in the Comments box below. *This question is required.

Space Cell	Name	Email	Phone Number
Employee 1	Employee 1: Name	Employee 1: Email	Employee 1: Phone Number
Employee 2	Employee 2: Name	Employee 2: Email	Employee 2: Phone Number
Employee 3	Employee 3: Name	Employee 3: Email	Employee 3: Phone Number
Employee 4	Employee 4: Name	Employee 4: Email	Employee 4: Phone Number
Employee 5	Employee 5: Name	Employee 5: Email	Employee 5: Phone Number
Employee 6	Employee 6: Name	Employee 6: Email	Employee 6: Phone Number
Employee 7	Employee 7: Name	Employee 7: Email	Employee 7: Phone Number
Employee 8	Employee 8: Name	Employee 8: Email	Employee 8: Phone Number

Comments

6. How do you plan to pay for the Academy? Please communicate any necessary information using the Comment box below. *This question is required.

Comments

RGS accepts credit cards via Pay Pal. Visit our website here to process your credit card payment. On the site, please fill in fields underneath "Participant Name(s)" and "Agency." Then Click "Pay Now." Once you have paid, click the item below to indicate you have paid.

Note: Academy seats are not confirmed until payment is received. Our Academies often fill up quickly. If you do not process payment while filling out this registration form, another registrant may take the seat.

Cancellation Policy: For scheduled and paid academy participant no shows, no refund of the costs will be given. If a participant is unable to attend, that agency may send an alternate for the registrant. If given two weeks’ notice prior to the first Academy session, the agency will receive a credit toward an upcoming Academy that may be used within the next 12 calendar months. If a participant misses one day of any academy, no refund or alternate participants will be allowed; however, the participant may still attend the final session and will earn fewer participation hours. For further information or questions contact Jo Miller at jmiller@rgs.ca.gov.

Click answer below to complete the registration process:
*This question is required.

To pay by check:

Mail a check for $950 for each attendee you are registering for the Academy, payable to: Regional Government Services, Attn: Lisa Cook, P.O. Box 1350, Carmel Valley, CA 93924.
Please note on the check: Your name and “For Fall 2021 Virtual Supervisor/Manager Academy."

Cancellation Policy: For scheduled and paid academy participant no shows, no refund of the costs will be given. If a participant is unable to attend, that agency may send an alternate for the registrant. If given two weeks’ notice prior to the first Academy session, the agency will receive a credit toward an upcoming Academy that may be used within the next 12 calendar months. If a participant misses one day of any academy, no refund or alternate participants will be allowed; however, the participant may still attend the final session and will earn fewer participation hours. For further information or questions contact Jo Miller at jmiller@rgs.ca.gov.

Click below to conclude the registration process.
*This question is required.

To pay by PO, or another alternative besides check or credit card:

Select the PO or Alternate payment
Click Next and you will be taken to a question to provide details.

PO or Alternate Payment

Please enter information about PO or alternate payment method below. RGS generally prefers check or credit card but will discuss with your agency alternate payment methods on a case-by-case basis. *This question is required.

How did you hear about this Academy? *This question is required.

Prior attendee from my agency
My Supervisor or Manager
RGS Advisor
RGS Newsletter
Email from RGS
LinkedIn
Other - Write In Please enter an 'other' value for this selection.

Comments