Wastewater Installer Online - Registration Form

Once your registration and payment information has been recorded by OSU Extended Campus, you will receive your course login information via email. Note: If you will be using a Company Purchase Order, please call Extended Campus at 800-667-1465 or email ecampus@oregonstate.edu.
*Asterisks () indicate required information.**
* For which modules(s) are you registering?	Module 1: Physical Properties of Soil ($40) Module 2: Hydrology of Soil Materials ($40) Module 3: Basic Soil Chemistry ($40)
* First Name:
* Last Name:
* Address Line 1:
Address Line 2:
* City:
* State:
* Zip Code:
Nation:
* Phone Number:
* Email:
Those taking the course as a requirement for onsite re-certification through the Oregon Department of Environmental Quality need to enter their installer certification ID number below.
Installer Certification ID #:
The following two fields are optional. If you have an existing Blackboard login (ONID or DCE), please include your username in the appropriate field below. We will then provide access to the course using your existing username.
Your ONID username, if you're an OSU student/employee:
Your DCE username, if you've taken a noncredit Ecampus course before (e.g. dce_smithj):
* Your intended method of payment:
How did you hear about this online course?
If Other (please specify):

OSU Professional and Noncredit Education