Certification Exam Registration Form

Agency

Name

Address

City State ZIP

Contact Person Phone

Exam Name      Please choose an exam 80-228 Installing, Configuring & Administering HSFIS Enterprise 80-029 Administering HSFIS Software 80-229  Configuring and Implementing with HSFIS Enterprise Edition 80-290  Managing and Maintaining a HSFIS Environment 80-291 Implementing, Managing and Maintaining a HSFIS & Windows Network Infrastructure 80-293  Planning and Maintaining a HSFIS Network Infrastructure 80-305 Developing and Implementing Web Applications with HSFIS & Visual Basic.net 80-306 Developing and Implementing Windows-based Applications with HSFIS

Please choose exam method:    

Online Exam:

HSU Facility

 

Fee   

Please enroll persons.

Name, Position

Fees: people/person at $ per person   Total: $

Make your check payable to Head Start University or charge all fees to:

Charge to Agency Purchase Order:

MasterCard   Visa   Discover   American Express

Card No. Expiration Date

Please bill the company: letter of authorization or purchase order will be faxed to (901) 758-4034. I have read and understand the registration and refund procedures for HSU courses.