Workshop Registration Form

WORKSHOP REGISTRATION FORM

Use this form to register for the workshops sponsored by the Staff Development Office at CCC. Go to the CRC Calendar to see current offerings. If the workshop does not have any openings, you will be notified that you are on a waiting list.

FIRST WORKSHOP REQUEST
Workshop name:

Date of workshop:

-- Please use the format month/date/year

Time of the workshop:

-- Please include "am" or "pm"

SECOND WORKSHOP REQUEST
Workshop name:

Date of the workshop:

-- Please use the format month/date/year

Time of the workshop:

-- Please include "am" or "pm"

Name and contact information:

Name -- Please input full name

College -- Please use college initials

Work Phone

E-mail