Training Registration Form Training Registrations Name* First Last Agency*Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Choose Training*Please Choose OneHearing Officer Specialist (No Exam) - April 16-17, 2024Hearing Officer Specialist with certification examEffective Interviewing for Program Integrity - May 21-22, 2024HCV Specialist with HOTMA (No Exam) - April 29- May 2, 2024HCV Specialist with HOTMA with ExamNSPIRE HCV (No Exam) - May 7-9, 2024NSPIRE HCV with ExamRAD Project Based Voucher (No Exam) - July 16-18, 2024RAD Project Based Voucher with ExamHOTMA – HCV (No Exam) - Aug 20-21, 2024Cancellation Policy* I accept the Cancellation Policy To receive a refund of your registration fees, written notice of cancellation must be received 30 days prior to the training; a $50 processing fee will be assessed. Cancellations received within 30 days of the training will not be refunded. The agency can send a substitute attendee if the original registrant can’t attend. No exceptions will be made.Payment Method*Pay by Credit CardInvoice MeCredit Card Number:Expiration DateCID CodeBilling Address Same as Above Different than Above Credit Card Billing Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Contact First/Last NameBilling Contact Email*