We are looking forward to welcoming you to Indianapolis for the second COMSEP COACH Certificate Program! We are in the process of finalizing all the plans and would like to ask for your help. We would like for you to know your fellow attendees prior to the meeting and for our facilitators to learn more about you and be able recognize you upon arrival to the course!  If you would like to participate, complete the questions below and upload a photo/headshot as well! This will allow us to share your information with your fellow attendees.

Thanks, and please let us know via email at info@comsep.org if you have any questions or concerns. We can’t wait to see you in Indianapolis!

 

Name(Required)
Max. file size: 128 MB.
If there are any complications uploading the photo please send it to info@comsep.org

Contact Information

We will be creating a contact list of all the registrants. Please answer with your preferred forms of contact - and list your mailing address that you would like us to use to mail you books/materials, etc. in prep for the meeting.
Address
Hidden

Travel Information

Hidden
Hidden
MM slash DD slash YYYY
Hidden
MM slash DD slash YYYY