Nitrogen Management Course Registration

✻ = Required

Registration Fees - Please select a fee below. If a fee is not selected, payment options will not appear.

Registration fee (non-student)

$140.00

OR

Student discounted registration fee (email must be xxx@xxx.edu)

$70.00

If choose student discounted fee, please let us know at which school you are enrolled.

Registrant Information

All questions followed by * (red asterisk) are required.

First Name ✻

Last Name ✻

Affiliation ✻

Email ✻

Phone ✻

CCA License # if you wish to receive CEU for the course.

DPR License # if you wish to receive CEUs for the course. (hours have been applied for)

How did you hear about the course? ✻

Are you planning to take the next round of the California Nitrogen Specialty Exam offered by ASA? ✻

Yes No Not sure

As part of this course, we would like to understand how easy or difficult these topics are to learn, particularly in an online setting. Little is known about how agricultural professionals best learn online. Therefore, if you consent, we would like to use your participation in this course as part of our study. If you consent to being a part of this research, we will analyze your answers on open-ended questions within the course, your engagement with the course materials, your engagement with the discussions and instructor, and your success on the exam (if you take it). If you do not consent, the experience you have will not differ from those who consent and your data would not be included in the study. You are free to decline to take part in the project. You can decline to answer any questions and you can stop taking part in the project at any time. Whether or not you choose to participate, or answer any question, or stop participating in the project, there will be no penalty to you or loss of benefits to which you are otherwise entitled. ✻

I consent I do not consent I want to learn more before deciding

Do you require any accommodations in order to participate in this virtual workshop?If yes, please submit your request on this separate form (opens in new window).

UC Employees: Using UC account to pay your fee? Please tell us what account you're using and include the name of your accounting contact.

Anything else we need to know?

Refund Policy

Cancellation and Refund Policy: Refund requests must be in writing and received 3 days prior to taking any courses. Refunds will be processed less a $10 processing fee. No refunds will be granted after course work has began.

If payment options (credit card, check, etc.) do not appear below, please return to the top of this registration form and select a fee.

Are you a grower taking the course for Nitrogen Self-Certification Units?

Yes No

Payment Type

Credit Card Check UC Account / Complimentary