Dtui | Diversity Executive Academy Program Checkout

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Basic Info

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First Name	:	Please enter your first name!
Last Name	:	Please enter your Last name!
Email	:	Please enter your email!
Password	:	Please enter your password!
Password Confirmation	:	Please enter your password!
Phone	:	Please enter your valid phone number

Address

Street Address	:	Please enter your address!
Street Address Line 2	:
City	:	Please enter your city!
State / Province	:	Please enter your state!
Postal / Zip Code	:	Please enter your ZIP code!
Country	:	Please choose your country!

Program Details

Please provide your highest educational credentials:	:
Name of last school that conferred a degree	:
Degree Title (e.g., bachelor's of arts) - Please be prepared to submit proof if required).	:
Certifications	:	Yes No Not sure Others
If other, please provide title or describe.	:
Have you taken an online course before?	:
Do you have brief description of any cultural diversity related training?	:	Yes No
If yes, please provide year of experience.	:	Year must be greater than 0
Brief description of any cultural diversity related training (Indicate no experience if it applies).	:
Brief description of any cultural diversity related professional experience (e.g., conducted a diversity training, diversity manager, etc.). Indicate no experience if it applies.	:
Brief describes why you want to complete cultural diversity certification training.	:
Need Instructional Accommodations?	:	Yes No
Please list accommodation needs:	:
Please tell us how you learned about us:	:

Confirmation

By submitting this application I am confirming the information is true and correct and I am the only person who will be accessing the learning materials and course upon approval of my application.

I Agree

This program includes:

DELA 300B

DELA 100B

subtotal:

$ 2294.95

Total :

$ 2294.95

Apply for the program