Enrollment Form - Committed to Ending Global Racism

  • Personal Information

  • Name * Required
  • Mailing Address * Required
  • Email Address * Required
  • Professional Support

  • Please provide the name of the mentor or supervisor who is supporting your participation in the program, if any.
  • Payment

  • Please indicate who will be paying the program cost: * Required
  • Please select your institution/organization's membership status. * Required
  • Have you attended any Forum Webinars since July 2020? * Required
    The Forum will review your record to determine if any of the webinars you have previously participated in qualifies towards this program.
  • Enrollment Agreement

  • I attest that I have downloaded and read the Enrollment Agreement. I accept the policies and procedures related to The Forum on Education Abroad's Credential Program and all its provisions included in the Enrollment Agreement. * Required
  • Non-Native English Speakers
  • Disability
    Participants bear the responsibility of initiating a disability-related notification. Check the box if you have a documented disability that needs to be disclosed as part of your participation in the program. You will be contacted confidentially to discuss your needs.
  • By my electronic signature below, I agree with and accept these provisions. * Required
  • Privacy Policy * Required