Certification Registration

	DATE:	January 30 – April 23, 2012
	DEADLINE:	January 30, 2012
	WHERE:	Nebraska Book Company or Online
	TIME:	Monday evenings from 5:30 – 8:30 PM
	EXAM:	May 1, 2012 – June 30, 2012

You will be contacted prior to the start of class via email with more instructions for the first meeting. Contact Joel Scherling and/or Amy Spellman, Co-Certification Directors, at certification@lincolnhr.org if you have any questions.

Name*
Title
Company*
Address*
Street AddressAddress Line 2CityStateZip Code
Phone*
Email*
Do you plan on taking the exam?*
- Yes
- No
If yes, which exam will you take?
- PHR
- SPHR
How will you be participating in the study group this session?
- In-Person at NE Book Co ($75 - LHRMA member; $130 - non-member)
- Participating as a Distance Learner via internet and phone - $130