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Project Management Registration Form by wxz21301

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									                                Office of Continuing Professional Education 
                                2214 Rock Hill Road, Ste. 400, Herndon VA 20170                                                                 Register for the
                                Phone: 703-993-4800; Fax: 703-993-4811                                                                        Certificate Program
                                www.ocpe.gmu.edu                                                                                            (4 core and 1 elective)
                                                                                                                                                  and SAVE!
  Project Management Registration Form
  *Information requested to maintain a permanent record of your non-credit activity in Mason’s student information system.
                                  (Print name as you would like it to appear on your certificate)

  *    Mr.       Ms. *Name                                                                                                                     _______________
                                        First                                        Middle                                          Last
  *Social Security Number                                                                             *Date of Birth                                                 _______

  Employer                                                                                             Job Title                                                     _______

  Work Address                                                                                        *Home Address                                                  _______

  City, State, Zip                                                                                    *City, State, Zip                                              _______

  *Preferred email                                                            _______                  Preferred mailing address              Home        Work________

  Phone: (Work)                                                              (Home)                                            (Cell)                                _______

  How did you hear about this program?
  Would you like to receive our monthly OCPE e-newsletter?                       yes        no
All courses meet 8:30 am – 4:30 pm
Course code: HRN – Meets at Mason’s Herndon Training Center                                                ARL – Meets at Mason’s Arlington Campus
 Core Courses
 Essentials of Project Management - $1295 PMP 0400                                 Project Estimating, Measures and Controls - $995 PMP 0402
    Jan. 12 – 14, 2010 C22 (HRN)    Jan. 26 – 28, 2010 A01 (ARL)                      Dec. 8 – 9, 2009 C18 (HRN)         Mar. 9 – 10, 2010 C19 (HRN)
    Apr. 13 – 15, 2010 C23 (HRN)   Jul. 13 – 15, 2010 C24 (HRN)                       Apr. 6 – 7, 2010 A01 (ARL)         May 12 - 13, 2010 C20 (HRN)
    Aug. 24 – 27, 2010 C25 (HRN)   Oct. 12 – 14, 2010 C26 (HRN)                       Sept. 9 – 10, 2010 C21 (HRN)       Oct. 26 - 27, 2010 C22 (HRN)

 Managing and Leading Teams - $995 PMP 0403                                        Project Management Certification: PMP® Exam Preparation - $1595 PMP 0401
   Feb. 10 – 11, 2010 C20 (HRN) Mar. 16 – 17, 2010 A01 (ARL)                          Dec.15 – 18, 2009 C28 (HRN)       Jan. 26 – 29, 2010 C29 (HRN)
   May 5 - 6, 2010 C21 (HRN)    Aug. 17 – 18, 2010 C22 (HRN)                          Feb. 23 – 26, 2010 A01 (ARL)      Mar. 16 – 19, 2010 C30 (HRN)
   Oct. 21 – 22, 2010 C23 (HRN)                                                       Apr.27 – 30, 2010 C31 (HRN)       May 25 – 28, 2010 A02 (ARL)
                                                                                      June 22 – 25, 2010 C32 (HRN)      Aug. 10 – 13, 2010 C33 (HRN)
 Elective Courses
 Negotiation and Conflict Resolution - $995 PMP 0407                               Managing Project Risk - $995 PMP 0406
   Feb. 23 – 24, 2010 C12 (HRN)     Sept. 8 – 9, 2010 C13 (HRN)                       Mar. 31 – April 1, 2010 C12 (HRN)                 Oct. 5 – 6, 2010 C13 (HRN)
 Measuring Project Performance Through Earned Value
                                                                                   PMI® Methodology Integration with Microsoft Project 2007 - $1195 PMP 0503
 Management - $1195 PMP 0501
                                                                                     Mar. 11 – 12, 2010 C02 (HRN)        May 10 – 11, 2010 A01 (ARL)
   Jan. 20 - 21, 2010 C02 (HRN)   Apr. 27 – 28, 2010 A01 (ARL)
                                                                                     Jun. 8 – 9, 2010 C03 (HRN)          Sept. 14 – 15, 2010 C04 (HRN)
   May 18 - 19, 2010 C03 (HRN)    Aug. 3 – 4, 2010 C04 (HRN)
 Additional Courses
                                                                                   Strategy and Portfolio Management - $695
 Financial Analysis For Managers - $595    PMP 0502
                                                                                   PMP 0504
    Feb. 17, 2010 C02 (HRN)       August 19, 2010 C03 (HRN)
                                                                                       Apr. 16, 2010 C01 (HRN)


      Full Certificate: 4 core courses + 1 elective $4,995 (select all 5 desired courses from available selection listed above)
        Group Discount: 10% discount if 3 or more people from your organization register at one time.
        (Submit all registration forms together or provide names of other students in group)
        Mason Alumni: 10% discount                                                                                           Total fee $ _________________


Method of Payment - Space confirmed upon payment receipt.
                                          Check                                                     P.O.
      VISA           MasterCard                                                                                                               SLM Loan           DD1556
                                        Payable to: George Mason University/OCPE              Please mail or fax PO with this form

 Credit Card Number:                                                                Expiration Date:
 Name on Card: (Please Print)                                                      Cardholder Signature:
                                                                                   (Required)

 Cardholder Address:                                                                Cardholder Phone Number:


                           Mail to: George Mason University, OCPE, 2214 Rock Hill Road, Suite 400, Herndon, VA 20170-4213 OR
                                                                  Fax to: 703-993-4811
Thank you for registering with George Mason University’s Office of Continuing Professional Education (OCPE).
Please read important information below. If you have any questions, please don’t hesitate to contact us at (703) 993-4800.
Enjoy your class!


Class Location Information

   George Mason University Herndon Training Center
   at the Center for Innovative Technology
   2214 Rock Hill Road, Ste. 400
   Herndon, VA 20170
   Underground Parking Free

   George Mason University Arlington Campus
   3401 Fairfax Drive
   Arlington, VA 22201
   Parking additional


All classes meet from 8:30 am to 4:30 pm.
Room temperature may vary - recommend bringing a sweater or jacket.

Certification Exam Questions
Contact PMI for all questions regarding PMP® Exam
Project Management Institute: www.pmi.org or PMI® Customer Service Phone: 1-610-356-4600
Email: customercare@pmi.org

Refund Policy
We recognize you may occasionally need to cancel your registration. You can substitute another individual in your place
prior to the class start. If you wish to receive a refund, we must receive your request for cancellation no less than five
business days prior to the course start date. If you request a refund, a $60 processing fee will be assessed. We are sorry
that we cannot provide a refund if we receive your written cancellation in four or fewer business days before the start of the
course. Payments will be refunded to the person/company that issued the original check to George Mason University. A
$25 fee will be assessed for return checks.

George Mason University, OCPE reserves the right to cancel any program; in which case, a full refund of fees is automatic.

Transfer Policy
For a one-time transfer request a $30 processing fee will be assessed. Request for a transfer must be made, in writing,
no less than five business days prior to the course start date. Unfortunately, if we do not receive your request five days
prior to your course start date, you will have to re-register for the class.

Refund or Transfer requests can be mailed, faxed or e-mailed to:
George Mason University - OCPE, 2214 Rock Hill Road, Ste. 400, Herndon, VA 20170. Fax: 703-993-4811
Email: esergio@gmu.edu

Weather & Emergency Cancellations
In the event of inclement weather, students are encouraged to confirm in advance whether their class will meet as
scheduled. Please call Mason’s 24-hour Information Line at 703-993-1000 for up-to-date school cancellations. If George
Mason University is closed, your class will not meet. A make-up class will be announced when the University re-opens. If
classes are delayed, please call 703-993-4800 for specific instructions.


Change of Mailing Address
Please contact OCPE if you move or change jobs so you will receive mailings and your certificate in a timely manner.


                                                     Questions?
                                     Call 703-993-4800 or email esergio@gmu.edu

								
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