Registration Form | Connections EAP

Please, select the class you wish to attend.

Instructor:

Donna VanPeursem

Sessions*Leadership Development Seminar

Employer*

Your Name*

Your Email*

Training Date: please select a date*

Please register each manager or supervisor attending the training*

Enter each name on a separate line.

Enter the number of total registrants*

Choose Registration Rate*EAP Plus Customer (Complimentary)Non-Customer Rate ($129.95 / Person)Connections EFS or EFS/BRM Rate ($90.00 / Person)

Total Amount*

By typing your full name here, you approve the above registrations for leadership staff.*

Employers (non-customer rate) that do not have the Connections Inc. EAP Benefit, must submit registration and payment by mail two weeks prior to training date.

For Connections customers: If payment is not received along with the registration form it will be invoiced and added to the regular billing statement from Connections Inc. Employee Assistance Program.