Participant Registration

Workforce Training Solutions

Contact Information

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Training

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Company Name

List the courses taken through this program

CESB

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# of hours

CESB

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Title of Course

# of hours

Certifications: I certify that the above information is true. (If appropriate, please record additional information on the back of this form.)

By signing below, I authorize Schoolcraft College to release course completion information for the course(s) listed above to my employer.

Please Note: after printing the form, you must submit the signed form. This page captures an electronic signature for the PDF, but a hand signature may still be requested by your employer.

I understand that I must download and email it to [email protected].

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