Course & Workshop Registration Form

All fields marked with an * are required.

Student Information
Billing Information
Course Information
Please select each class in which you would like to enroll *

Start Date

- Course/Workshop

Grant or Discount Status

Are you interested in grant funding? *

See more information regarding grant funding requirements.

Grant Funding
Payment Information

Step 1. Choose one of the following options to tell us about your requested method of invoicing. *

Step 2. Choose one of the following options to tell us about your method of payment. *

PO Number (if applicable):

Note: If you are using a Company PO number, it must be supplied before the first date of class.

If you are an mHUB member, please enter "mHUB Member" below.

Credit Card Information:
To pay by credit card, please call Kevin Hogan at 630-505-0500 ext. 228.

Additional Information

How did you hear about this program?
(Please select all that apply. Your response is greatly appreciated.)

Please check the box below to ensure that a person, not an automated program is submitting this form.

Course Fees

Please see the workshop schedule for course fees.

Cancellation Policy

Illinois BIS must be notified of all cancellation requests 5 days prior to the workshop or course start date in writing. Participants who cancel less than 5 days prior to the workshop start date or do not attend the workshop will be responsible for full payment of the registration fees. This includes any approved grant amount not covered. We reserve the right to cancel workshops if enrollment criteria are not met.

Special Physical Accommodations:
If you require any special physical accommodations to attend these courses, please contact Illinois BIS at info@illinoisbis.org.

Important Grant Funding Notification

If you are utilizing grant funding to defray the cost of training, please contact Illinois BIS regarding grant funding requirements at kevin.hogan@illinoisbis.org or (630) 505-0500 x 228. Additional information regarding available grant funding can also be found on the Illinois BIS website here. Any requirements not met will result in ineligibility for grant funding and your company will be invoiced the full amount of the training. If you are utilizing individual WIA grant funding, all paperwork must be submitted and approved prior to enrollment acceptance. Your registration indicates acceptance of these rules.

Location

All courses and workshops are held at Illinois BIS, 1100 East Warrenville Road, Suite 150, Naperville, Illinois 60563.