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Application

Please fill out the form below. All fields are required.

I am applying to the following program session March 16–28, 2013

October 27–November 7, 2014
Participant Information
First name Middle initial
Last name
Grade/Rank
(SES, GS-15, Colonel)
Organization
Home Address
City State Zip code
Commercial Phone Number:
(include aea code)
Date of Birth
Email
Name as you'd like it to appear on your badge
List anyone you would like copied on correspondence
First Name
Last Name
Commercial Phone Number
Email
Agency's Training Representative
First Name
Last Name
Organization
Street Address
City State Zip code
Commercial Phone Number
Email
Special Accommodations
Special Accomodations Needed?

Yes

Special Dietary Requirements? Yes
Tablets/E-readers
Do you have an eReader or Tablet PC?   Yes     No
 
Would you like to receive instructions to download the readings to your tablet or e-reader?   Yes       No
 
Emergency Contact
First Name


Last Name
Daytime Phone


Evening Phone
Tuition Payment

Tuition Cost: The course tuition is $8,500 for the two week program. The NSSP has established a reduced rate for organizations sending three or more participants to the Senior Manager Course. The pricing structure is as follows:

  • $8,500 per person when one or two participants from the same unit or agency attend a course.
  • $8,075 per person when three or more participants from the same unit or agency attend a course.
Check Payable to George Washington University, NSSP
To be sent via US mail
Purchase Order/Government Training From (SF182)
To be sent via US mail or fax
Credit Card(Visa or MC only)
To be relayed via phone
 
            
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