EmployerU Registration Form I am registering for*Mental Health for 'Wealth' WorkshopYoung Professionals Institute (YPI)American Management Association (AMA)VESiWorkshopsHiddenRegistration Date* MM slash DD slash YYYY VESi Registration Form Click here to register for VESi on their website.Name* First Last Job Title* Phone*Email* Employer Employer Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Nominator's/Supervisor's Name & Title* Nominator's Email* Please Note By submitting this form, you agree to pay the registration fee should you be selected to participate in this course. You also commit to attend all 8 course sessions, and grant the University of Maine at Presque Isle full authorization and absolute right and permission to assign, convey, reproduce, copyright use and/or publish your photograph, likeness, voice and/or name in any photograph, video or audio medium in which you may be included. Thank you for registering for this free community program. All attendees are eligible for a raffle for a $25 gift certificate to Shop N Save. (One winner per session will be selected randomly.)Course Options* "Leadership Skills for Managers"; Wednesdays from 5:00 - 8:15 PM; October 16 - November 13 "Communication Skills for Managers"; Thursdays from 5:00 - 8:15 PM; October 17 - November 14 Certificate OptionPlease select the certificate option you are working towards. General Management Human Resources Please Note By submitting this form, you agree to pay the registration fee through check or credit/debit card payment. Please look out for an email providing more information on how to pay. PhoneThis field is for validation purposes and should be left unchanged.