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Instructions:

Complete the following form listing only one location and/or date per form. Select the Submit button to receive a Workshop Registration Confirmation.

* Indicates required field.

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Please indicate your choice of Location and Date:

List only one location * per registration. If you need to register additional staff for another location and/or date, please submit a new Registration Form.

01/21/2009 - Rock Vally College, Rockford, IL
01/23/2009 - John A. Logan College, Carterville, IL
01/28/2009 - Wilbur Wright College, Chicago, IL
01/30/2009 - Lewis and Clark Community College, Godfrey, IL
02/03/2009 - Illinios Valley Community College, Oglesby, IL
02/05/2009 - Danville Area Community College, Danville, IL
02/06/2009 - Prairie State College, Chicago Heights, IL
02/10/2009 - ISAC Deerfield Office, Deerfield, IL

Name(s) of individual(s) attending:

1. First Name * Last Name * E-mail
 
2. First Name Last Name E-mail
 
3. First Name Last Name E-mail
 
4. First Name Last Name E-mail
 
5. First Name Last Name E-mail
 


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