CEU Registration Form
Please register. More information on CEUs can be found here:
https://www.nwic.edu/wp-content/uploads/2019/05/CEU_BROCH_MAY2019.pdf
* Required
Email
*
Your email
Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Student ID/SSN
Your answer
Ethic Origin
*
Native American
Alaskan Native
Canadian First Nation
Hispanic of any race
Asian
Race Unknown
Native Hawaiian/Pacific Islander
Black/African American
White/Caucasian
Non-Resident Alien
Required
Tribal Affiliation
*
Your answer
Campus/Site Location
*
Lummi Campus
Muckleshoot
Nez Perce
Nisqually
Port Gamble
Swinomish
Tulalip
Other:
Required
Quarter
Fall
Winter
Spring
Summer
Dept & Course
*
Your answer
By submitting and signing this form, you acknowledge that you are receiving a Northwest Indian College CEU. By checking the box you are indicating that the information provided is true and accurate, to the best of your knowledge. Please remember to fill out the evaluation after you have completed the 2020 Symposium.
*
I acknowledge the above
Required
A copy of your responses will be emailed to the address you provided.
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