Advanced Government Contracting Certificate Registration Form

 Advanced Government Contracting Certificate Registration Form *This information requested to maintain a permanent record of your non‐credit activity in Mason’s student information system. If this nformation is not provided at the time of your registration, the permanent record cannot be retroactively created. (Print your Full Legal Name as it appears on your state issued ID card or passport) * Mr.  Ms. G Number (If used at Mason) First Middle Last (Mason ID #) *Date of Birth Please check one First Middle Last Previous Name Employer Job Title *Home Address *City/State/Zip Preferred mailing address  Home  Work Work Work Address City/State/Zip *Preferred email Phone: Home Cell How did you hear about this program? Would you like to receive our monthly OCPE e‐newsletter?  yes  no Courses meet 8:30 am – 4:30 pm unless otherwise noted. HRN ‐ Mason’s Herndon Training Center ARL ‐ Arlington Campus WDC ‐ PCI in Washington DC  Full Advanced Government Contracting Certificate: 8 Days of Training $3,504 CFG 0500: Advanced Source Selection ‐ $1,095 2 ‐ day course  Dec 15 – 16, 2015 C02 (HRN)  April 6 – 7, 2016 W01 (WDC) CFG 0501: Advanced Contract Administration ‐ $1,095 2 ‐ day course  Sept 15 – 16, 2015 C01 (HRN)  Dec 8 – 9, 2015 A02 (ARL) COURSES CFG 0502: Best Practices in Subcontracting ‐ $1,095 2 ‐ day course  Oct 27 – 28, 2015 A01 (ARL)  Feb 23 – 24, 2016 C02 (HRN) CFG 0503: Leading Practices in Cost Estimating and Accounting ‐ $1,095 2 ‐ day course  Sept 22 – 23, 2015 A02 (ARL)  Dec 8‐9, 2015 W01 (WDC)  March 17 – 18, 2016 C01 (HRN) CFG 0504: CAS Cost Impacts ‐ $1,095 2 ‐ day course  Dec 8 – 9, 2015 C01 (HRN) CFG 0505: Protests: Process and Strategy ‐ $695 1 ‐ day course  Dec 10, 2015 A01 (ARL)  Feb 25, 2016 C02 (HRN) CFG 0506: Organizational Conflicts of Interest ‐ $695 1 ‐ day course  Sept 17, 2015 C01 (HRN)  Nov 17, 2015 C02 (HRN)  March 21, 2016 W01 (WDC) Option: Up to 4 days may be selected from electives available in the Government Contracts Accounting or Contract Formation and Administration Certificates Elective courses may not be used in multiple certificates. If you are selecting elective(s), enter elective course name(s) and date(s) below:  Group Discount: 10% discount if 3 or more people from your organization register at one time.  Mason Alumni: 10% discount  Promo code: ___________
(Submit all registration forms together or provide names of other students in group) ‐ (only one discount can be applied) Total fee $ _________________
Space confirmed upon payment receipt. Method of Payment  VISA/MasterCard
 Check (Payable to: George Mason University/OCPE)  P.O
 SLM Loan
Credit Card Number:
Expiration Date:
Cardholder Billing Address:
(Required)
Cardholder Phone:
Cardholder Signature:
(Required)
Name on Card:
 Wells Fargo Loan
 SF 182
(Please Print)
Mail to George Mason University, OCPE, 2214 Rock Hill Road, Suite 400, Herndon, VA 20170‐4213 or Fax to 703‐733‐2820 7/2/15
Office of Continuing Professional Education
2214 Rock Hill Road, Ste. 400, Herndon VA 20170
Phone: 703-993-4800; Fax: 703-733-2820
www.ocpe.gmu.edu
Thank you for registering with George Mason University’s Office of Continuing Professional Education (OCPE).
Please read important information below. If you have any questions, please don’t hesitate to contact us at 703-993-4800.
Enjoy your class!
Class Location Information Arlington Campus
Founders Hall
3351 Fairfax Drive
Arlington, VA 22201
Herndon Site
Center for Innovative Technology
2214 Rock Hill Road, Ste. 400
Herndon, VA 20170
Parking Additional
Underground Parking Free Public Contracting Institute
1727 I St NW
Washington, DC 20006
Parking Additional Refund Policy
We recognize you may occasionally need to cancel your registration. If you wish to receive a refund, we must receive your request for
cancellation no less than five business days prior to the course start date. If you request a refund, a $60.00 processing fee is deducted.
We are sorry that we cannot provide a refund if we receive your written cancellation in four or fewer business days before the start of
the course.
If you have requested a refund it may take several weeks to process. Payments will be refunded to the person/company that issued the
original check to George Mason University. A $50 fee will be assessed for returned checks.
George Mason University, OCPE reserves the right to cancel any program, in which case, a full refund of fees is automatic.
Transfer Policy
For a one-time transfer request a $30 processing fee will be assessed. Request for a transfer must be made, in writing, no less than
five business days prior to the seminar start date. Unfortunately, if we do not receive your request 5-days prior to your seminar start
date, you will have to re-register for the class.
Refund or Transfer requests can be mailed, faxed or e-mailed to:
George Mason University, OCPE, 2214 Rock Hill Road, Suite 400, Herndon, VA 20170. Fax: 703-733-2820 Email: ckeeney@gmu.edu
Weather & Emergency Cancellations
In the event of inclement weather, students are encouraged to confirm in advance whether their class will meet as scheduled. Please
call Mason’s 24-hour Information Line at 703 993-1000 for up-to-date school cancellations. If George Mason University is Closed your
class will Not meet. A make-up class will be announced when the University re-opens. Online courses will still meet as scheduled.
Change of Mailing Address –
Please contact OCPE if you move or change jobs so you will receive mailings and your certificate in a timely manner.
Questions? Call 703-993-4800 or email ckeeney@gmu.edu
7/2/15