Lean Six Sigma Registration Form

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

Items with an * indicate a required field.

Please provide the following contact information
First Name *
Last Name *
Address Line 1 *
Address Line 2
City *
State *
Zip *
Email *
Daytime Phone *
Company
Are you a Ball State alumnus?	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.

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
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.