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Registration Form
Diversity Training for Public and Private Agencies
January 2007 - May 2007

Please use a separate registration form for each agency staff member

Important Note:  Please Notify DMR at Least One-Week in Advance, If You Are Canceling Your Registration.

Select the Session Date: 

First Name:
Last Name:
Job Title or Role:
Agency:
Telephone No.
Email:

For DMR Employees only, Sign Language Interpreter or Accessibility Accommodations.

DMR must be notified 2 weeks prior to the session in order to confirm availability.

Please Specify: