Tahoe Qualifying Registration Form

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GS Consultants
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1882 Venice Drive
PO Box 7855
So. Lake Tahoe
CA 96158
530-541-8587

South Lake Tahoe
Workshop Registration Form

Using the MBTI® Assessment to Improve Student Retention ($325)

For security reasons, please do not include credit card numbers or other payment information in this form. You will be contacted by G/S Consultants to arrange for payment. Thank You.

Name

Title

Employer

Address

Additional Address

City

State Country Zip Code

Phone Fax

E-Mail

Permission for G/S Consultants to publish my information on the program roster:

Yes No

Please answer the following:

How do you rate your knowledge of the Strong Interest Inventory™ ?
None Some Expert

How do you rate your knowledge of the MBTI®?
None Some Expert

What is your MBTI® Type?

Please check if you are taking this program for continuing education units:

(CEUs are $10 each) NBCC MBTI® Practitioner