To process your request for enrollment, please enter all the information into the following form, and click the "Send Request!' button located at the end of the form.

Note ... We must receive your request to cancel at least 7 business days prior to the scheduled course date or your department will be billed for the entire course.

First Name
 Last Name
** Email
 Employee ID (Enter '999999', if non-employee)
** Failure to enter a complete & correct email may VOID submission of your registration.
If you do not have an email address, please call 951-955-3255 to register.
Department
  Work Phone
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1. Desired Course Name:
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1. Course Date:
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2. Desired Course Name:
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3. Desired Course Name:
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4. Desired Course Name:
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5. Desired Course Name:
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6. Desired Course Name:
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7. Desired Course Name:
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8. Desired Course Name:
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9. Desired Course Name:
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10. Desired Course Name:
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I have obtained my Supervisor's approval to register for this course.   Yes   No