GCSA Financial Certification Course Registration Round 1 Question Title * 1. Name First Name Last Name Question Title * 2. Social Security Number Question Title * 3. Date of Birth Date Date Question Title * 4. Home Address Home Address City State Zip Question Title * 5. Cell Phone Question Title * 6. Is your school authorized by the State Charter Schools Commission (SCSC)? Please note that all initial SCSC Scholarships have been awarded. However, you may be eligible for a future scholarship upon registration for a different course. Yes No Question Title * 7. School Name (Employer) Question Title * 8. Title Question Title * 9. Work Email Address: Question Title * 10. Candidate Status New Certification First Course New Certification Subsequent Course Renewal Certification Other (please specify) Question Title * 11. Comfort Level & Years of ExperienceFor each course topic, please rate your comfort level on a scale of 1-10 (10 = expert level and 1 = beginner level) and choose your years of experience from the drop-down list provided. Years of Experience Comfort Level Charter School Finance & Accounting No experience 1-2 years 3-5 years More than 5 years More than 10 years Charter School Finance & Accounting Years of Experience menu 1 2 3 4 5 6 7 8 9 10 Charter School Finance & Accounting Comfort Level menu Governmental Accounting 101 No experience 1-2 years 3-5 years More than 5 years More than 10 years Governmental Accounting 101 Years of Experience menu 1 2 3 4 5 6 7 8 9 10 Governmental Accounting 101 Comfort Level menu Charter School Budgeting No experience 1-2 years 3-5 years More than 5 years More than 10 years Charter School Budgeting Years of Experience menu 1 2 3 4 5 6 7 8 9 10 Charter School Budgeting Comfort Level menu Quality Basic Education (QBE) Formula No experience 1-2 years 3-5 years More than 5 years More than 10 years Quality Basic Education (QBE) Formula Years of Experience menu 1 2 3 4 5 6 7 8 9 10 Quality Basic Education (QBE) Formula Comfort Level menu Charter School Policy Development No experience 1-2 years 3-5 years More than 5 years More than 10 years Charter School Policy Development Years of Experience menu 1 2 3 4 5 6 7 8 9 10 Charter School Policy Development Comfort Level menu Procurement Policies & Practices No experience 1-2 years 3-5 years More than 5 years More than 10 years Procurement Policies & Practices Years of Experience menu 1 2 3 4 5 6 7 8 9 10 Procurement Policies & Practices Comfort Level menu Payroll & Compensation Practices No experience 1-2 years 3-5 years More than 5 years More than 10 years Payroll & Compensation Practices Years of Experience menu 1 2 3 4 5 6 7 8 9 10 Payroll & Compensation Practices Comfort Level menu Establishing Effective Internal Controls & Financial Oversight No experience 1-2 years 3-5 years More than 5 years More than 10 years Establishing Effective Internal Controls & Financial Oversight Years of Experience menu 1 2 3 4 5 6 7 8 9 10 Establishing Effective Internal Controls & Financial Oversight Comfort Level menu Audit Preparation No experience 1-2 years 3-5 years More than 5 years More than 10 years Audit Preparation Years of Experience menu 1 2 3 4 5 6 7 8 9 10 Audit Preparation Comfort Level menu Question Title * 12. Which course(s) are you registering for? Governmental Accounting 101: Oct 23, 2019 Quality Basic Education (QBE) Funding & School Budget Development: Nov 13, 2019 Foundational & Strategic Fiscal Policy Development, Implementation & Evaluation: Dec 18, 2019 Payroll, Compensation & Procurement Policies & Practices: Jan 29, 2020 Internal Controls, Legal Requirements, & Effective Financial Oversight: Feb 12, 2020 Audit Preparation Best Practices: Mar 11, 2020 Question Title * 13. How will you pay for the training? Bill my school. Bill me directly. Question Title * 14. Payment Information - Note: Each individual course costs $300 per person. Schools must pay for each individual course before attending. GCSA will bill your school in advance of the course. Participants must complete all 6 courses to receive certification. The full six-course Financial Certification Program costs $1,800. Schools paying for the full six-course program up front will receive a discounted rate of $1,620 (10% off). Please provide billing info below. You may also call Jeniffer Fletcher, at 470-344-0256 to pay by credit card. Billing Contact Person Billing Address Billing City Billing State Billing Zip Done