WIA Training Reservation Form

Please complete the following Training Reservation Form to secure reservations for the training sessions. The information provided will assist the AWI with the preparation process. The completed form should be emailed to Tammy Bacon at Tammellia.Bacon@awi.state.fl.us  no later than August 17, 2009 in order to secure reservations for the session in your area.

Selecting the appropriate attendees for the training is critical. Please review the related training schedule and ensure that reservations are made for the appropriate staff members.   

Name of Individual Completing the Form: __________________________________________

Title: ________________________ __ Date: ___________ Phone: (      )__________________

Regional Workforce Board Area: _______________

Location: _______________________________________ (Orlando, Miami, Tallahassee)

Name of Attendee	Email Address	One-Stop Center	Type of Staff (see codes below) *	
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* (1)Front-line Staff (2)Program Supervisor (3)Quality Assurance (4)RWB Staff Member (5)Other