Registration Form


If you have already registered but have not yet paid, please do not register again. Contact gslisce@simmons.edu for a direct link to our payment page.

First Name
Last Name
Organization
Job Title
Address Type HomeWork    
Street1    
Street2    
City    
State (If in US, please use standard state abbreviations)    
Zip    
Country (if not U.S.)
Email    
Home Phone
Work Phone
   


For each workshop, please enter the title and the applicable Full, Simmons GSLIS alum, or Simmons GSLIS student cost below.
Workshop 1 Title
Workshop 1 Cost
Workshop 2 Title
Workshop 2 Cost
Workshop 3 Title
Workshop 3 Cost
Workshop 4 Title
Workshop 4 Cost
Payment Method
Notes


Student Type
For discount information, please refer to our Workshop Discounts page.
If applying a discount, please be sure to adjust the 'Workshop Cost' accordingly, as discounts are not automatically reflected.
If Simmons GSLIS alum, please enter year of graduation:

Do you need professional development points (PDPs) used for recertification at the Department of Education? For more information, please see here.

PDP Yes
Area of Certification for PDPs (e.g., "School Libraries")
Please provide us with an area of certification above to place on your PDP letter if you request PDPs.


How did you hear about the GSLIS Continuing Education Program?
If other, please specify:

 


Questions? Email us at gslisce@simmons.edu or call (617) 521-2803