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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
 
2600 Mission Bell Drive, San Pablo, CA. 94806
phone: 510-235-7800 | Comments | 4CD Confidential Hotline
District Office | Diablo Valley College | Los Medanos College | Brentwood Center | San Ramon
Page was Last Modified on 9/14/2009