Department of Education

Division of Public Schools & Community Education

Bureau of Instructional Support and Community Services

 

JUVENILE JUSTICE EDUCATION PROGRAMS

TECHNICAL ASSISTANCE WORKSHOP

Rosen Plaza Orlando

•

SEPTEMBER 24-25, 2002

 

 

 

FAX REGISTRATION

 

FAX to Linda Harris @ (850) 414-8357

 

Each participant must complete a separate registration form.

Please print legibly.

No FAX cover sheet is needed.

 

 

Name ___________________________________ Title ________________________________________________

District/Agency/Institution_______________________________________________________________________

Mailing Address_________________________________________________________________________________

 

_________________________________________________________________________________

    

__________________________________________________________________________

Telephone (work

)_________________________

  

Fax__________________________________________

 

 

Emergency Contact Number (after work hours)

_________________________________________________________________________________________________

 

E-mail Address ________________________________________________________________________________

 

 

 

REGISTRATION

 

____Yes, I plan to attend the Juvenile Justice Education Programs Technical Assistance

Workshop (8:00 AM, Tuesday, 9/24 – 3:00 PM, Thursday, 9/25).

 

 

 

 

  

  

  

  

  

  

Please return by September 13, 2002, to Linda Harris

Juvenile Justice Educational Enhancement Program

314 S. Magnolia Dr. Tallahassee, FL 32301