2017 Grant Administrator Certification

2017 Grant Administrator Certification

Training Registration Form

Successful completion of the preceding CDBG course is a prerequisite for the next numerical level. All days in a course must be attended to count as completed.

Registrant information:

Name
Business/Organization Government
Address
City / State / Zip
Phone / Email
Cell phone in case of last minute cancellation
Briefly describe your intention for your certification (general knowledge, grant administration)
______
Briefly describe where you are in the process of certification (new, midway, maintenance):
______

Please select all courses you wish to register for. Material for 101 and 501 courses is identical at all sessions offered for each course. Dates and locations are subject to change.

CDBG 101: The Garrison @ Fort Benjamin Harrison

6002 N Post Rd, Indianapolis, IN 46216

o  July 11 – / $60.00 / Blue Heron Ballroom
o  July 25 – / $60.00 / Blue Heron Ballroom

CDBG 201: Indiana Government Center South Conference Center

302 W. Washington Street, Indianapolis, IN 46204

o  August 15 –
o  August 16 –
o  August 17 – / $120.00
Included
Included / IGCS Conf. Rm B
IGCS Conf. Rm B
IGCS Conf. Rm B

CDBG 301: Indiana Government Center South Conference Center

302 W. Washington Street, Indianapolis, IN 46204

o  September 12 –
o  September 13 –
o  September 14 – / $120.00
Included
Included / IGCS Conf. Rm 19
IGCS Conf. Rm 19
IGCS Conf. Rm 17

CDBG 401: Fort Harrison State Park Inn

5830 N Post Rd, Indianapolis, IN 46216

o  / o  September 15 – / No cost / Roosevelt Room

CDBG 501: Indiana Government Center South Conference Center

302 W. Washington Street, Indianapolis, IN 46204

o  August 3 –
o  September 8 –
o  October 13 – / $60.00
$60.00
$60.00 / IGCS Conf. Rm B
IGCS Conf. Rm 22
IGCS Conf. Rm 22

Registration will begin at 8:30am.

·  All 101, 201, 301 and 501 courses are from 9:00 a.m. – 4:00 p.m.

·  The 401 exam will be open between 9:00 a.m. – 2:00 p.m.

Payment information:

Please enclose a check payable to the Indiana Office of Community and Rural Affairs for total of all courses. Session fees are non-refundable and non-transferrable. Payment MUST be enclosed for registration to be processed. A credit card option will be available soon.

Registration form must be received ONE WEEK prior to event date, or until all spaces are filled.

Return form via mail to:

Indiana Office of Community and Rural Affairs

c/o Corrie Scott

One North Capitol, Suite 600

Indianapolis, IN 46204

SPACE IS LIMITED – PLEASE REGISTER EARLY!