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Procurement


Phone: 609.530.2452
Fax: 609.530.2212

Professional Services
Bridge Inspection Refresher Training
Date of Training: November 18 - 20, 2014
Registration Deadline: October 31, 2014


NHI Course No. 130053 Interest Form


This course is scheduled for NJDOT in-house personnel, and New Jersey County and Agency personnel. A priority list of attendees will be established based on the date of completion of this interest form.

Note: Submitting this interest form does not register you for the course.

Any seats available for Consultant personnel will be listed as a “public seat” available for purchase on the National Highway Institute website. Note that public seats are not available for all courses.

Interested participants who complete this form will be notified regarding acceptance approximately two weeks prior to the start date of training. Please submit any inquiries via e-mail.

IMPORTANT: DO NOT EXPRESS INTEREST IN THIS COURSE IF YOU WILL NOT BE ABLE TO ATTEND IN ITS ENTIRTY. IF YOU MISS ANY PORTION OF THE COURSE, NO CREDITS AND NO CERTIFICATE WILL BE GRANTED.

For more information: visit the NHI Web site.

This form should be completed no later than October 31, 2014.

Please complete the information below. Provide all information for your work location (work address, work e-mail address, work phone number, etc.).

*Required Fields

* Name:
* Organization/Firm:
* Street Address/PO Box:
* City:
* State:
* Zip:
County:
* E-mail Address:
* Phone:
Ex: XXXXXXXXXX (10 digits)
* Mobile Phone:
Ex: XXXXXXXXXX (10 digits)
FAX:
Ex: XXXXXXXXXX (10 digits)
Title:

* Have you attended this course in the past? Yes No

* If Yes, then indicate when below:


 
Each firm will be limited to ONE (1) participant, unless space permits. If your firm submits registrations for more than one engineer, please indicate the order of preference in comment area above.

I am interested in the session that runs: November 18 - 20, 2014

I verify that I have entered all of the required information
      in the form above.

Click on the "Submit" button below
to send this form for processing.

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  Department of Transportation
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  Last Updated:  October 10, 2014