Register

Welcome! Below you will find important registration information.

Register Online

Registration by Mail  

Office of Continuing Education mail-in registration form

(Please complete form and mail with appropriate payment due.) 

Name_____________________________________________

Address___________________________________________

City _________________ State __________ Zip __________

Phone (daytime)____________________________________

E-mail ____________________________________________

Social Work State License #___________________________

Title of Workshop___________________________________

TOTAL FEE $ ____________

Method of payment: ____ Visa ____ MasterCard

____________________________________ __________
Credit card #                                                       Exp. Date

_____________________________ __________________
Signature of Card Holder                    3-Digit # back of card

 

_____ Check: Make check payable to Wayne State University. 

 

Mail To:       
Wayne State University             
School of Social Work 

5447 Woodward Avenue
Detroit, MI 48202
Attn: Continuing Education