Continuing Education Catalog & Registration

Iowa Continuing Education
Registration and Course Catalog

* First Name
* Last Name
* Address1
Address2
* City, * State	,
* Zip Code & Last 4	-

* At least one phone number is required. Please include the area code and extension number (if applicable). The recommended format for the phone number is: (XXX) XXX-XXXX
Work Phone
Home Phone
Cell Phone
Other Phone
Fax Number
* Which number should we call to notify you of cancellations?

* E-mail Address
* Please verify your E-mail Address

Please fill out your organization information.
* Organization Type
* Organization
If your organization is not in the list above, please enter the organization name here.

If you work in a public library, are you certified?
* Job Title

Name Tag

Accessibiltiy Needs
Dietary Needs

You must create a unique login name for your account. A suggested login name is your first initial and last name, but you may enter a new login name of your choice that does not already exist in our system. An example login name would be 'jsmith' (John Smith).
* Login Name

* Password
* Please Verify Password