//Electronic Register Inclusion Form:

Atenção: Attention: The fields marked with * are obligatory
* Register your e-mail:
* Register your password:
* Repeat your Password:
* Inform your name:
Birth place:
 (formato: DD/MM/AAAA)
Inform your city:
Telephone 1:
Telephone 2:
Mobile 1:
Mobile 2:
Inform your Occupation:
Describe:
For how long are you graduated:
School:
Studying now:
 Yes     No
Course Name:
What period:
What Institution:
What do you find for most interesting in CEFAC site:
Access to publications
Information on courses
News
Information on units
How do you access the Internet:
Frequently:
Sporadically:
From where mainly do you access the Internet :
My home:

My workplace:
Home - Friends / relatives:
Other Locations (Please, specify):
Connection used for Internet access :
Dialed line (modem):
Broadband :
I would like to get informative material on Cefac's Courses:
Extension Courses:
Specialization Courses:
Improvement Courses:
Remote Courses:
In what periods below would you like Cefac to offer its Courses:
Select a Period:

Check the areas concerning you:

Audiologia
Disfagia
Educação / Aprendizagem
Estética
Fala
Fono Empresarial
Gagueira
Hospitalar
Linguagem Escrita
Linguagem Oral
Motricidade Oral
Saúde Coletiva
Telemarketing
Voz
Other areas (please specify):
Suggestions: