KY TRIO Learn Committee Five for Five Training Registration

FIVE FOR FIVE VIRTUAL TRAINING

January 26, 2021/February 17, 2021/March 10, 2021/April 14, 2021/ May 12, 2021
Name *

First Name Last Name Preferred Name
Position Title *
TRIO Project(s) *
Institution/Agency *
Work Address *

Street Address

Street Address Line 2

City State

Zip Code
E-mail *
Work Number *

Area Code Phone Number
Cell Number

Area Code Phone Number
FAX Number

Area Code Phone Number
Additional Staff Attendee Name

First Name Last Name Preferred Name
Additional Staff Attendee Name

First Name Last Name Preferred Name
Additional Staff Attendee Name

First Name Last Name Preferred Name
Additional Staff Attendee Name

First Name Last Name Preferred Name
Special Services Required: *

Large Print None
Payment Options: *

Request Credit Card Invoice Check On-site
* This session must meet minimum attendee numbers. If numbers are not met, registration will be refunded.

Online Payment Registration Types - Fee per program allows any and all TRIO Staff to attend. The Five Sessions are: THE HISTORY OF TRIO, MENTAL HEALTH - TRIO SELF-CARE,"TECH" YOU OUT, BUDGET LIKE A BOSS, and FINANCIAL AID -DECONSTRUCTING AWARD LETTERS.

1 PROGRAM – FIVE FOR FIVE TRAINING $500 2 PROGRAMS – FIVE FOR FIVE TRAINING $1,000 3 PROGRAMS – FIVE FOR FIVE TRAINING $1,500 4 PROGRAMS – FIVE FOR FIVE TRAINING $2,000

Once registration is complete, your invoice will be emailed to the address provided.

If paying by check, make payable to:

Kentucky TRiO Treasurer
Should be Empty:

FIVE FOR FIVE VIRTUAL TRAINING