APD > Registration Form

APD Area 3

"Supported Employment"

Social Security Benefits and Work Incentives Session

Pre-registration is required!

• Parents and guardians of students with disabilities are encouraged to also attend.

  Your Contact Information

  Please fill in all of the information below:
  (* Denotes Required Field)

  First Name:	*
  Last Name:	*
  Email Address:	*

  
  
  

  Class Schedule and Registration

  Please select the training class that you would like to register for.

  Once you have made your selection, please select the "Send Form" button at the bottom of the page. You should receive an email at the address you provided above confirming the receipt of your request.

  You must print out the confirmation email and bring it with you the day of class.

  ** Class sizes are limited. Registration does not guarantee a seat in the class.

  
  

  Supported Employment
  Training	Date	Location
  Supported Employment	March 9 and 10, 2009	Department of Transportation Auditorium

  
  
  

  Social Security Benefits and Work Incentives Session
  Training	Date	Location
  Social Security Benefits & Work Incentives Session 1	March 16, 2009	Department of Transportation Auditorium
  Social Security Benefits & Work Incentives Session 2	March 17, 2009	Department of Transportation Auditorium

  
  
  
  
  

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