Management Development Program - Austin | LBJ School of Public Affairs

Course Date:

Tuesday, Apr 19, 2022 to Thursday, Apr 21, 2022

Course Time:

8:30am - 4:30pm

Course Fee:

$725

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(* indicates a required field)

Vendor I.D. for processing purchase order: #37217217217080
Federal Tax ID: 746000203

Warrant to be deposited in local funds.

Salutation *

(Mr./Ms./Dr./Cpt./....)

First Name *

Last Name *

Nickname *

(preferred name for nametag)

Name to appear on certificate *

Title *

Gov. Agency *

Department *

Address *

City *

State *

ZIP Code *

Phone *

(ex. 512-555-1212)

Cell or Alternate Phone *

Fax

Preferred Mailing Address *

Mailing address for certificate of completion.

Email Address *

(Separate multiple emails with a comma)

Email Address for Invoice *

Are you an LBJ School Graduate?

Yes

If yes, what year?

Manager's Name *

Manager's Title *

Manager's Email *

Emergency Contact

Emergency Contact Phone

Purchase Order #

(OPTIONAL/NOT REQUIRED)

If you have special accommodation needs due to a disability please contact us at 512-475-8100.

Cancellation Policy

Cancellations may be made by phone but must be followed up in writing. Participants must notify their agency liaison and the Governor's Center for Management Development if they must cancel. Cancellations received eight (8) or more days before the class date will not be billed. After that, cancellations or rescheduling are subject to the entire class tuition. Substitutions for registered participants will be accepted up to the start date for each class. Please note that if you don't cancel and don't attend, you will be billed for the full tuition.

I have read, understand, and will comply with the above cancellation policy. *

I have read, understand, and will comply with the above cancellation policy.

Course Code

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