Course Registration

Use this form to pre-register for scheduled courses of your interest. Please submit one per class per person. You may also mail your information to the address provided, or call us.

Please enter the following information:

Name:

Title:

Organization:

Social Security Number:

Phone # (please include area code): Extension:

Fax # (please include area code):

E-mail address:

Address:

City: State: Zip:

Course name and number:

Date(s):

Location:

Note:
To reserve a seat in a course, you must do ONE of the following:

Send full payment (see individual course listings for tuition amount);
Send 20% of the tuition amount as deposit (refundable if you cancel not less than one week before the course);
Send a letter of authorization with a purchase order number.

Make checks payable to West Virginia University and remit payments to:

West Virginia University
Safety & Health Extension
130 Tower Lane
P.O. Box 6615
Morgantown, W. Va. 26505
Questions? Call: (304) 293-3096 or (800) 626-4748
or fax: (304) 293-5905

Cancellation policy:

If we receive your cancellation 14 days prior to the course starting date, we will refund your registration fee less a 20% nonrefundable deposit. Requests for refunds may be made in writing or by telephone.

If insufficient enrollment requires cancellation of a course, we will refund your registration fee in full, or you may elect to transfer your fee to another scheduled course.

Written confirmation will follow receipt of registration and payment. Directions, lodging information, transportation and exact course location will be included with the confirmation.

To clear this form, select:

When finished, select:

Thank you for your registration submission. Have a nice day.

Course Registration

Please enter the following information:

Note: To reserve a seat in a course, you must do ONE of the following:

Cancellation policy:

Note:
To reserve a seat in a course, you must do ONE of the following: