South Region GREAT Center Logo. GREAT is an acronym for Getting Results Educating Adults in Texas. Housed at Texas A&M University Kingsville.

South Region GREAT Center
Participant Registration Form

I. Workshop Information

Workshop Topic:

(Please copy from the calendar and paste the exact name of the training into Workshop Topic.)

Workshop Date(s): Very Important! Please enter date mm/dd/yyyy

Workshop Time(s):

Workshop City:

II. Participant Registration Information

First Name: MI: Last Name:

Title:

Address:

City:       Zip:

Phone (work): Phone (home):

Fax:

Email (work): Email (home):

Program Affiliation:

Click the "Submit" button below and the form information will be sent to the South GREAT Center.

Additional Information

For information on current training descriptions (i.e. name of training, times, etc.) visit the South Region GREAT Center Calendar and click on Additional Information.

Contact the South Region GREAT Center at (361) 593-4183 for problems with registration.

"State law requires that you be informed of the following: (1) you are entitled to request to be informed about the information about yourself collected by use of this form (with a few exceptions as provided by law); (2) under Sections 552.021 and 552.023 of the Government Code you are entitled to receive and review that information; and (3) under Section 559.004 of the Government Code you are entitled to have the information corrected at no charge to you." Please read our Privacy Policy for additional information.