Professional Development Workshop Registration Form

Save the Date!

Upstate Regional Counselor/CDF

and Administrator's Forum

Supporting K-12 Counselors through Professional Development

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Sponsored by: Anderson University

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Friday, March 16, 2018

8:00am

Breakfast Provided

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Anderson University

G. Ross Anderson, Jr. Student Center
316 Boulevard
Anderson, SC 29621

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***Featuring EEDA Updates, Microburst Career Exploration, Bullying Prevention and Counseling, Counselor Collaboration and Networking, etc.***
So we may best serve you, please respond to the following questions

and submit the questionaire when it is completed. Thank you!
Full Name*

PrefixFirst NameLast Name
Preferred Name*
Job Title*
School*
School District*
Grade Level*
Which grade level(s) are you responsible for?
Phone Number*

Area CodePhone Number
E-mail*
Dietary restrictions/limitations*
Should be Empty: