Online Professional Development Registration Form
This file provides essential information for registering for online professional development courses. It includes course details, payment options, and contact information. Use this form to ensure a smooth registration experience for your professional growth.
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How do I fill this out?
To fill out this form, start by entering your personal and program information accurately. Next, select the course modules you wish to register for and specify the enrollment quarter. Finally, provide your payment details and review the submission requirements before sending.

How to fill out the Online Professional Development Registration Form?
1
Provide your personal and program information.
2
Choose the desired course modules.
3
Indicate the enrollment quarter.
4
Fill in your payment information.
5
Submit the completed form.
Who needs the Online Professional Development Registration Form?
1
Educators seeking professional development to enhance teaching skills.
2
School administrators coordinating staff training sessions.
3
Program coordinators organizing educational workshops.
4
Individuals looking to improve their assessment techniques.
5
Organizations requiring site-wide training for staff members.
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What are the instructions for submitting this form?
To submit this form, you can send it via mail to Assessment Technology, Incorporated at 6700 E. Speedway Boulevard, Tucson, AZ 85710. Alternatively, you can fax the completed form to 520.323.9139. For online submissions, ensure you have filled out all required fields and click the submit button, following any additional instructions provided.
What are the important dates for this form in 2024 and 2025?
Ensure your registration by the 15th of the month prior to the start of each quarter. The quarters for 2024 will begin on January 1, April 1, July 1, and October 1. Review the registration deadlines to ensure timely enrollment.

What is the purpose of this form?
The purpose of this form is to streamline the registration process for online professional development courses. It collects essential information from participants to facilitate access and payments. Additionally, it is designed to ensure all participants meet the necessary requirements for course completion and credit.

Tell me about this form and its components and fields line-by-line.

- 1. Participant Name: Full name of the participant.
- 2. E-mail Address: Email for correspondence and course materials.
- 3. Course Selections: Modules the participant wishes to enroll in.
- 4. Enrollment Quarter: The quarter in which the participant wishes to register.
- 5. Payment Method: Details on how the participant will pay for the course.
What happens if I fail to submit this form?
If the form is not submitted, participants will miss the opportunity to enroll in the desired courses. Additionally, failure to submit may result in administrative delays.
- Missed Deadlines: Participants may miss important registration deadlines.
- Lack of Confirmation: Participants will not receive confirmation of enrollment.
- Payment Issues: Without submission, payment processing cannot occur.
How do I know when to use this form?

- 1. Individual Enrollment: This form can be used by individual educators looking to enhance their skills.
- 2. Site License Registration: Ideal for organizations registering multiple staff members at once.
- 3. Quarterly Registration: Utilize this form to register for new courses each quarter.
Frequently Asked Questions
How can I edit this PDF?
You can easily edit the PDF by uploading it to PrintFriendly and selecting the areas you want to change.
What formats can I download the edited PDF in?
The edited PDF can be downloaded in PDF format for easy sharing and printing.
Is there a deadline for registration?
It's recommended to register at least two weeks before the start of the quarter to secure your spot.
How do I pay for the registration?
You can choose to pay via purchase order or by sending a check made payable to Assessment Technology, Incorporated.
Can I register for more than one course?
Yes, you can register for multiple courses simultaneously by selecting additional modules.
Do I receive confirmation after registration?
Yes, once your payment is processed, you will receive a confirmation email with course details.
Are there any fees if I cancel my registration?
All course registrations are final, and fees are non-refundable.
How can I contact customer support?
You can reach support via email at ProfessionalDevelopment@ati-online.com or by calling 800.367.4762.
Where do I send my completed registration form?
Return the completed pages to Assessment Technology, Incorporated via mail or fax.
What is the purpose of this form?
This form is designed for individuals or organizations to register for online professional development courses.
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