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PARTICIPANT’S REGISTRATION FORM

Please complete this form. Your instructor must sign this form and it must be returned to the Associated General Contractors of America for your name to be entered in the database of individuals who completed this course. Your instructor can send in this form along with your classmates’ forms, or you can send it in yourself by folding and taping so the post-paid address shows.

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* 1. About you: Name (as shown on your Driver’s License)

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* 2. AGC of America Personal ID Number

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* 3. Your email address

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* 4. Job Title or Function

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* 5. Company/Organization Name

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* 6. Company/Organization Address

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* 7. City State Zip

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* 8. Phone Fax

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* 9. How many years have you worked in the construction industry?

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* 10. What Association do you belong? Select all that Apply:

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* 11. How much Building Information Modeling experience do you have?

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* 12. How would you identify the company you work for? Select all that apply.

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* 13. What type of work does your company do? Select all that apply.

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