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Workforce Development Registration

Please use the form below to register for Workforce Development classes. If you have any questions, please feel free to contact us at (307) 872-1326. Call us early at (307) 382-1806 with your ADA needs.

• First Name:
• Last Name:
• E-Mail Address:
• Address (Street):
• Address (City):
• Address (State):
• Address (ZIP):
• Phone:
• Phone (Secondary):
• Social Security Number:
• Birth Date: (Required for reporting purposes only)
• Gender:
• How many years have you lived at the above address?
• If a Wyoming resident, how many years have you lived in Wyoming?
• Ethnicity:

Course Date Course Number Course Title Fee

• I am enrolling for the following reasons:
If "Other":
• How did you learn about this class?
(FOCUS booklet, flyer, TV, WWCC class schedule, e-mail, web, word of mouth)


Payment Method: Cash/Check

Credit Card
(Please call (307) 872-1326 with your card information)

Purchase Order
Company:
Number:

Bill Company
Company:
Address:


Individuals are personally responsible for payment in the event that the indicated company or organization fails to make payment in full.

I understand that once my registration is processed, I am officially registered for the class and am responsible for all debts incurred. If my account is not paid in full, I understand that the College may hire a collection agency to take action. If my account is assigned to a collection agency, I understand that I am responsible for all attorney fees, court costs or delinquency fees that may be incurred during the collection of my debt. I understand that the delinquency fee will be equal to 50% of the principal amount owed. If a refund is due from my account, I authorize the College to automatically issue a refund check.

• I have read the statement above:
 
For more information, contact Workforce Development at (307) 872-1326 or workforce@westernwyoming.edu.
 
© 2017 WESTERN WYOMING COMMUNITY COLLEGE
2500 COLLEGE DRIVE, ROCK SPRINGS, WY 82901
(307) 382-1600 or toll free (800) 226-1181

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