C Collaborative for

D Disaster CEM Lecture Series M Mitigation

REGISTRATION FORM Every 2nd and 4th Thursday of each month 6:00 pm – 8:00 pm San José EOC 855 N. San Pedro Street, #404, San José, CA 95110 These classes are designed to count toward the emergency management training requirement of the IAEM Certified Emergency Manager program. Upon completion of class(es), you will receive a certificate of hours completed to be used towards your CEM requirement. Official CEU (Continuing Education Units) certification through San José State University is an additional cost of $60 per CEU or part thereof. 1 CEU = 10 hours of class time. Completion of entire first series is 2 CEU’s.

Free parking in the City of San Jose C Lot, east side of San Pedro Street, from 5:00 pm onwards. Courses Instructor Date Cost Subtotal #1 Earth Sciences, Geology and To be announced Feb. 13 $25.00 Landslides #2 Weather and Meteorology To be announced Feb. 27 $25.00 Prof. Guna Selvaduray, SJSU and #3 Nonstructural Hazard Mitigation Mr. Erny Ekblom, WorkSafe Mar. 13 $25.00 Technologies #4 Intro to Building Design & Prof. Steve Vukazich, SJSU Civil Engineering (including applications of engineering Mar. 27 $25.00 Engr. Dept. (invited) to the built environment) #5 ATC-20 and Post-Earthquake Damage Prof. Thalia Anagnos, SJSU Civil Apr. 10 $25.00 Assessment Engr. Dept (invited). #6 Geographic Information System To be announced Apr. 24 $25.00 (GIS) – An Introduction #7 GIS Applications in Emergency Dave Kehrlein (invited) May 8 $25.00 Management #8 Legal Framework of Emergency Prof. Aidan Gogh, Santa Clara May 22 $25.00 Management University Law School (invited) #9 Policy Issues for Emergency Frannie Winslow, Ph.D., City of Jun 12 $25.00 Managers San José OES #10 Media Relations Lindsey Wolf (invited) Jun 26 $25.00 OPTIONAL: Qty. x  Continuing Education Unit (CEU) *1 CEU for every 5 classes taken $60.00 ea. =  Check here if you are taking these classes for your CEM requirement. Total Cost: *courses & instructors subject to change Please e-mail, fax or mail in your registration form to: Collaborative for Disaster Mitigation, One Washington Square, San José, Ca 95192-0082 Ph: (408) 924-3596 Fax: (408) 924-3857 E-mail: [email protected]

NAME: COMPANY: ADDRESS:

PHONE: FAX: E-MAIL: Payment Method:  Check (please make checks payable to: SJSU Foundation)

 VISA  MasterCard  AMEX Name on Card: Card No. Exp. (If name on card is other than self, please include authorization letter)