To register for online training only:

Print out this form, fill in all fields and truck mail or fax back to TLC at Sivia Center: 955-6872

Last Name	First Name
Center/School	Position
Center Code/Number-- This is a four digit number that represents your school or center
Telephone Number	Fax Number
E-mail address____________________________________________________________Required **If you do not have an e-mail address, please provide a proxy e-mail so we can contact you.


Please indicate the computer platform you are currently using: ______PC ______ Mac
Check the row for the desired course.
Computer Proficiency 1 2 3 4 5 6 7 8 9 10 (1-beginner, 10-expert)

I would like to register for CustomGuide online training. ____ I would like to receive CREATE points for my training. ____
Training topics include: Access 2007 Access 2003, Access 2002, Access 2000, Access 97, Computer Basics, Excel 2007, Excel 2003, Excel 2002, Excel 2000, Excel 97, Mac OS X, Mac Word 2004, Outlook 2007, Outlook 2003, Outlook 2002, Outlook 2000, Outlook 98, PowerPoint 2007, PowerPoint 2003, PowerPoint 2002, Project 2003, QuickBooks 2005, Windows Vista, Windows XP, Windows 2000, Word 2007, Word 2003, Word 2002, Word 2000, Word 97