Enrollment All Courses must be registered a minimum of 6 weeks prior to the beginning date of your course *Based on Availability* To guarantee enrollment register by November 16, 2018 Course Begin Date Course End Date Institution Number of Participants Course Director Name Course Director Email Course Director Phone Number Course Coordinator Name Course Coordinator Email Course Coordinator Phone Number Options INDIVIDUAL CALL OPTIONS Comprehensive Package: 12 cases All reports included $20 per call Extensive Package: 10 cases All reports included $20 per call Limited Package: 5 cases (Institution Comparison Report is NOT AVAILABLE with this package) $25 per call ($10 extra) GROUP CALL OPTION Small Group Session No reports $75 per hour Call Options Please check all that apply. Individual: Comprehensive Package Individual: Extensive Package Individual: Limited Package Group: Small Group Session Reports Only: Weekly Debriefing Reports Only: Individual Profile Late Fee *A 20% late fee will be applied on all enrollments after 11/23/2020.*