MEC RegistrationMEC Sign-Up Form Name * RequiredEmail * Required Phone * RequiredOrganization * RequiredYour Moodle site URL - enter a valid website URL for example https://www.google.com * Required Your Role * RequiredInstructional DesignerFaculty/InstructorSite AdministratorOtherHow many years experience do you have using Moodle? * RequiredWhen will you be joining the MEC Program? * RequiredMay, 2020July, 2020Sept, 2020Nov, 2020Please choose one answerWhat are you hoping to achieve from the MEC program? * RequiredProgram Cost & Payment DetailsWe accept credit card, PayPal or check. Payment must be received prior to the start of each cohort. Please let us know if you need an official invoice.Member of NERCOMP? * RequiredYesNoNot sureFull Comprehensive Certification (First-time MEC Enrollee) Price: $695.00 Quantity: To complete the program you should plan on 2 months of largely self-paced study for the 6 modules. $495.00 for the program + $200.00 to Moodle HQ for the Certificate. Total: $695.00 Total for Program + Certificate.Full Comprehensive Certification (Returning MEC Participant Price: $595.00 Quantity: To complete the program you should plan on 2 months of largely self-paced study for the 6 modules. $395.00 for the program + $200.00 for the Moodle HQ Certificate. Total: $595.00Billing Info. (please fill out billing contact and address)We will send you an invoice and accept credit card, PayPal or check. Payment must be received prior to the start of each cohort.CAPTCHAUntitledCommentsThis field is for validation purposes and should be left unchanged.