USC Rossier DEI Certificate Program Registration

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Diversity, Equity & Inclusion (DEI) Certificate Program

Registrant Information

First Name

Last Name

Personal Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Eligibility Requirements

To obtain USC Rossier’s Diversity, Equity, and Inclusion (DEI) Certificate, you must have a work position that requires the responsibilities of implementing diversity, equity, and inclusion structures and systems.

I meet the above requirements.

I do not meet the above requirements.

Thank you for your interest in our programs! Please click here to review USC Rossier's Professional Development services designed to meet a variety of needs.

Please take a few moments to briefly tell us about yourself and your interest in this program.

Describe the DEI work that you are responsible for facilitating or leading. (Up to 150 words)

What do you hope to learn from this program or accomplish at the end of the program? (Up to 150 words)

How did you hear about this Professional Development program? (Check all that apply)

Facebook

Friends

Instagram

Newsletter

Professional Network

Rossier Website

Web Search

Employment Information

Which option best describes your current position?

Title/Position

What grade(s) do you teach?

Please tell us more about your context:

Work Email

School/Worksite

District

USC Library Questionnaire

Registered participants in Professional Development programs are granted access to the USC Library. Please answer the following questions to be granted that access.

Have you ever had a USC Issued Email address before?

Yes

Prior USC Email address

Have you ever been enrolled in or applied to a USC degree, certificate, or program before?

Yes

If you are currently or have previously enrolled at USC, what is your USC ID?

I grant the professional development team permission to forward my information to the USC Library for the purposes of setting up USC Library access.

Yes

Payment Details

Cancellations and Substitutions Policy

All cancellations must be received in writing. The amount paid minus a $300.00 processing fee will be refunded for all cancellations received in writing 3 weeks before the first day of the program. For international credit card users: Currency fluctuations occur. Refunds, if requested, will be made in USD at the exchange rate in effect at the time the refund is processed. USC Rossier will not be responsible for any loss incurred by the card holder. NO refunds will be granted for cancellations received on or after 3 weeks before the first day of the program. By email, you may arrange for a substitute participant at least 1 week before the program. Should USC Rossier need to cancel the program, participants will receive a full refund of their amount paid minus application fees, if applicable.

To hold your place, a non-refundable deposit of $600 is due now when you submit your registration. Your registration will be considered incomplete until the deposit is received.

The remaining tuition ($5,400) is due two weeks before the start of the program.

Please indicate how you would like to complete your $600 deposit:

By uploading a purchase order today

By Visa or Mastercard today

By paying later

Amount due:

You will be charged the amount shown above after submitting this registration form. You will be redirected to a payment page where you can submit your payment by Visa or Mastercard. If you do not complete this payment today, you can pay at a later date via your Status Portal.

You will be charged the amount shown above after submitting this registration form. You will be able to pay this amount at a later date via your Status Portal. You will receive instructions on how to access this portal after you submit this registration form.

Please upload a signed PO or other evidence that your district has agreed to pay for your participation in the program. If you do not upload this evidence, your registration will remain incomplete.