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Virtual Campus Workshop Signup Form
 
Form Instructions: Complete one form for each workshop you wish to attend. Completely fill in each box below. Provide a current phone number and email address so we can contact you if there are any cancellations. We will send a sign-up confirmation to the email address provided. Make sure you include the title, date, and time of the workshop that you want to register for.

First Name 

 

Last Name 

 

PCC "S" ID Number 

 "S" # is available through Human Resources

Dept. Teaching For 

 

Phone 

 

E-mail 

 

Workshop Title 

 

Workshop Date/Time