PLEASE REGISTER ME FOR:
Sexual Harassment in the Workplace: Prevention and Investigation
(two-day program)
Tues/Wed, 8:30 a.m.- 5:30 p.m.
October 16-17, 2001
Loop Campus
PERSONAL DATA:
First name:
Last name:
SSN:
Home Address:
Address 2:
City:
State:
Zip code:
Phone number:
Fax number:
Your email:
ORGANIZATIONAL DATA:
Title:
Company:
Address:
Address 2:
City:
State:
Zip code:
Phone number:
Fax number:
Your email:
Briefly Describe Job Responsibilities and Expertise:
Briefly Describe Your Expectations:
How did you hear about us?
PLEASE SEND ALL CORRESPONDENCE TO:
Home Address
Work Address
METHOD OF PAYMENT:
Credit Card (Please call 312-362-6780)
Bill My Firm - PO# Required
Check - Please print this form & mail to:
DePaul University MDC
1 E. Jackson Blvd. - Suite 7000
Chicago, IL 60604
CREDIT CARD INFORMATION:
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