Lean Six Sigma Registration Form

School of Extended Education

Calendar of Events

Certified Training Consultant Institute

Computer Skills Class Schedule

Indianapolis Center Events

Insurance Education Institute

Lean Six Sigma Certification

Registration Forms

SHRM® Learning System Course

Professional Development Programs

Community Partnerships

Center for Economic and Community Development

Indianapolis Center

Outreach Services Site

Carmichael Hall, Room 201 Muncie, IN 47306
Phone: (765) 285-2773
Fax: (765) 285-4989

Hours: 7:30 a.m. to 4:00 p.m.

Lean Six Sigma Registration Form - Fall 2008

Please complete the following form and click Submit when you have finished.

*MiniTab can now be purchased at a reduced rate through Ball State University when you sign up for any option of the program. Please contact Krista Flynn at (765) 285-5679 if you are interested.

Items with an * indicate a required field.

Please provide the following contact information
First Name *
Last Name *
Company
Address Line 1
City
State
Zip
Daytime Phone *
Fax
E-mail address *
Home address *
City *
State *
Zip *
Are you an alumnus of Ball State University?	Yes No

Please indicate how you would like to pay for your class(es)
Payment Method *
Checks made payable to BSU can be mailed to Ball State University, Center for Organizational Resources, Carmichael Hall Room 201, Muncie IN 47306. If paying by credit card, we will contact you for the necessary information.
Are you an employee of Ball State?	Yes No
BSU employees are eligible to receive 25% off.

Please select each course you would like to attend:
Online, Non-Credit Options *	White Belt Program: $995 Yellow Belt Program: $1,395 Green Belt - Commercial Program (Option One): $1,995 Green Belt - Commercial Program (Option Two): $4,495 Green Belt - Industrial Program (Option One): $1,995 Green Belt - Industrial Program (Option Two): $4,495 Black Belt Program (Option One): $2,995 Black Belt Program (Option Two): $5,495 Facilitation option in addition to online class: $1,500
Option One: Course information only; Option Two: Course information and project guidance and evaluation by Ball State Six Sigma Certified Faculty.

To register by phone, call (765) 285-1588 or (800) 541-9313. To register by fax, print this form and send to (765) 285-1284.