Winter Workshop 2012

Registration Form

Your Information: (all fields required)

First Name:

   

Last Name:

   

Department:

   

Your Campus:

  Please Select a CampusKnightFlanaganListonNewport County

Work Phone:

   

CCRI E-mail:

   

Employee Category:

  Please Select an Employee CategoryFacultyAdjunct FacultyStaff

Yes, I will attend on: (select one)

  Friday, February 3, 2012; 12:00pm - 3:30pm; Knight Campus (Warwick) - Room 1040

 

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