First Name: Last Name:
Department:
Primary Campus: Select One... Knight (Warwick) Flanagan (Lincoln) Liston (Providence) Newport County (Newport)
Work Phone:
Your CCRI E-mail address:
Check your primary employee category: Faculty Staff
Are you a supervisor of other staff: Yes No
Yes, I will attend Harassment Training on (select one):
Friday, May 23rd, 1:00 pm – 2:00 pm Flanagan Campus, Room #2302
Wednesday, June 4th, 11:00 am – 12:00 pm Newport Campus, Room #200 (Conference Room)
Thursday, June 12th, 10:00 am – 11:00 am Liston Campus, Room #2249