2012 CDBG Certification Registration Form

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LINCOLN: July 25th-26th- 27th

CDBG Certification Training: Holiday Inn-Downtown

141 N. 9th Street

Lincoln, Nebraska 68508

Registration Deadline: July 11, 2012
Refund Deadline: July 11, 2012
Daily Registration: 7:30 a.m. – 8:00 a.m.
Training Begins: 8:00 a.m. daily
Lodging: Registrant’s responsibility.
Holiday Inn-Downtown (402) 475-4011

Room Rates: $85.00 single

Room Block for: July 24-27, 2012

Room Block Reserved Until: July 12, 2012

Room Block Code: Nebraska Department of Economic Development

/ Individuals, who are hearing and/or speech impaired and have a TTY, may contact the department through the Statewide Relay System by calling (800) 833-7352 (TTY) or (800) 833-0920 (voice). The relay operator should be asked to call DED at (800) 426-6505 or (402) 471-3111.
Individuals requiring physical or sensory accommodations, including interpreter service, Braille, large print, recorded materials, or special dietary needs, please contact Carol Malcolm by phone: (402) 471-3745 or email, y July 11, 2012.
CDBG CERTIFICATION TRAINING INFORMATION
To become a certified administrator, it is mandatory to attend all training sessions and successfully complete the certification exam.
Please bring a calculator.
In our efforts to accommodate your personal preference and schedule, the department is offering the possibility of two (2) periods for taking the CDBG Certification exam. You may select either the end of the training day on Thursday, July 26thor the following morning on Friday, July 27th. Please select only the one time period you’d like to take the CDBG Certification exam.At the time of the registration deadline we will inform you of your exam time. Three hours will be allowed to take the exam.
Please mark the one time you prefer to take the exam.
3:15 p.m. Thursday, July 26 9 a.m. Friday, July 27
REGISTRATION
Registration Fee: $130
The registration fee covers all workshop materials, meals, and breaks during the training. Included in the fee is a CDBG Administration Manual. Evening meals are on your own.
*Attendance at all sessions is mandatory to become certified.However, if you would like to attend a specific session, and not become certified, contact Carol Malcolm at or (402) 471-3745
Please send the completed registration form and registration fee (check or money order only) to:
CDBG Certification
Nebraska Department of Economic Development
Community and Rural Development Division
P.O. Box 94666
Lincoln, NE 68509-4666
Or, you may submit the completed registration form by
e-mail to . / Learn More About Our Training Opportunities
by visiting our website:

Revised May 2, 2012