To register for any class, contact Outreach Services by any of the following:

Phone: 740.351.3171
Toll-free: 1.866.672.8778
Fax: 740.351.3591

Or mail any brochure registration form directly to:

Shawnee State University 
Business and Industry Training
940 Second Street
Portsmouth, OH 45662

Include the following information:

Course Title ______________________________________

Name___________________________________________

SN or I.D. No. _______________________________

Date of Birth (required)_____________________________

Home Address___________________________________

City____________________________________________

State__________________Zip______________________

Phone_________________________________________

Email__________________________________________

Company _______________________________________

Address_________________________________________

City_______________________St________Zip_________

Work Phone_____________________________________

Email___________________________________________

Method of payment (check one)

_____Check (will mail)         

_____Purchase Order No.____________

_____Visa     ______Mastercard

Card No.________________________________________

Expiration Date___________________________________

Signature________________________________________