BREVARD

Brevard - January 14 and 15

PLEASE NOTE: Participants must be available and attend the entire two day training (Day One 8:00am - 9:30pm and Day Two 8:00am - 5:00pm). Participants ARE NOT allowed to miss any segment of the two day training. Please be sure that work schedules are clear and you have no prior commitments that would conflict with the training schedule. Call 920-915-9045 if you have any questions.

This event is of no cost to you if you register and attend.

Name *

First

Last

Student ID Number: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Do you have any meal restrictions? *

Phone Number *

T-Shirt Size *

How did you hear about this event? *

Please list and explain 4 personal or professional goals: *

Please explain three of your largest personal/professional challenges/barriers. *

Please explain what you hope to gain from this experience: *

Submit

Brevard - January 14 and 15

Call: 920-915-9045