CEBS Schedule Spring 2013 - Fairleigh Dickinson University

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CEBS Schedule Spring 2013 - Fairleigh Dickinson University Powered By Docstoc
					                                                                                                                                  CEBS Program
                                                                                                                   285 Madison Avenue, M-DH2-01
                                                                                                                               Madison, NJ 07940
                                                                                                                             Phone: 973-443-8990
                                                                                                        285                     M-DH2-01
                                                                                                              Madison Avenue,Fax: 973-443-8780
Anthony J. Petrocelli                                                                                                   Email:
College of Continuing Studies                                                                                            Website:
                                                CEBS Registration Form Spring 2013
General Information (please print):
Last Name                                                 First Name                                                    M.I.                 Suffix

Social Security #                                                Date of Birth

Address                                                                 City                                  State              Zip Code

Day Phone                                           Evening Phone                                         Cell Phone

Fax #                                                                     Email Address

FDU Course Fees                    Course Selection
Course Fee…………$325                 Please select the course(s) you would like to enroll in by checking the box next to the Course Code.
Registration Fee……$20
Total Amount Due = $345 per course                                            MADISON CAMPUS
This amount is paid directly to Fairleigh    Course & Title                                    Course Code            Date & Time
Dickinson University for CEBS                GBA 1                                                                    Mondays          6:00pm – 9:00pm
classroom instruction, which provides a      Group Health Plan Design                               132CEBS0801       2/25/13 – 4/29/13
disciplined and structured approach for      RPA 3                                                                    Tuesdays         6:00pm – 9:00pm
preparing for a CEBS examination.            Asset Management                                       132CEBS0804       2/26/13 – 4/30/13
You will have direct access to a             GBA 2                                                                    Wednesdays       6:00pm – 9:00pm
knowledgeable instructor and can ask         Group Benefits Management                              132CEBS0803       2/27/13 – 5/1/13
questions about difficult
                                             CMS 1                                                                    Thursdays         6:00pm – 9:00pm
material. Classes are an excellent
                                             Human Resources & Comp. Management                     132CEBS0802       2/28/13 – 5/9/13*
forum for the exchange of ideas and
will provide an opportunity to network
with your peers.                                                                        TEANECK CAMPUS
                                             Course & Title                                    Course Code            Date & Time
CEBS Foundation Fees
Please note that there are additional fees   CMS 1                                                                    Mondays          6:00pm – 9:00pm
for each course that are paid directly to    Human Resources & Comp. Management                     132CEBS0502       2/25/13 – 4/29/13
the CEBS Foundation. These fees              GBA 1                                                                    Tuesdays         6:00pm – 9:00pm
cover registration, study materials,         Group Health Plan Design                               132CEBS0501       2/26/13 – 4/30/13
exam fees, and other fees that may           RPA 3                                                                    Wednesdays       6:00pm – 9:00pm
apply. For a complete description of         Asset Management                                       132CEBS0504       2/27/13 – 5/1/13
course fees, please visit the CEBS           GBA 2                                                                    Thursdays         6:00pm – 9:00pm
Foundation Website at:                       Group Benefits Management                              132CEBS0503       2/28/13 – 5/9/13*
/Overview/US+CEBS+Fees/                                 *No Class on 3/14/13 University Closed for Spring Recess*
                                             Important: Please do not order books and materials until start of class is confirmed by this office.
Payment Information:                                    Start dates and courses are subject to change due to enrollment.
Total Amount Due                 $
(From courses selected above)
                                                         (All checks made payable to Fairleigh Dickinson University & mailed to the address above.)
Select Payment Method
                                 AMEX                         VISA                           MASTER CARD                             CHECK
Name On Card

Card #                                                                         3 or 4 Digit Vin #                        Exp. Date

Signature                                                                 Date

Cancellation Policy: The University reserves the right to cancel courses. Courses with less than 5 students will not proceed. In the event of a
cancellation, registrants will be notified immediately and all fees will be returned in full. Persons wishing to cancel their enrollment must do so no
later than five days prior to the start of the program. Any refund request received within five days of the program start date will be subject to a 25%
cancellation fee. Please allow three to five weeks for the processing of all refunds. Refunds will not be issued after the program has started.
Fairleigh Dickinson University also offers On-Site classes at your place of business for your convenience.

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