JUDICIARY TRAINING CENTER by d303fW

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									                 Office of Problem-Solving Courts
                                 JUDICIARY TRAINING CENTER
                                 2011-D COMMERCE PARK DRIVE
                                  ANNAPOLIS, MARYLAND 21401


          FY 2008 Grant Application Workshop Registration
March 16, 2007 9:30-Noon ___________ OR March 16, 2007 1pm-4pm __________

Please submit a separate registration form for each person who
plans to attend the workshop. Seating may be limited.
Name: _________________________________________________________________
      (Print your name as you want it to appear on your badge.)

Role in Drug Court: _______________________________________________________


Agency/Employer: ________________________________________________________


Address: ________________________________________________________________


City: ____________________________________________ State: ____ Zip: _______


County: ________________________________________________________________


Phone Number: _____________________ Fax Number: _________________________


E-mail Address: __________________________________________________________

Drug Court Type Affiliated (circle all that apply) Adult / Juvenile / Family / DUI

List Any Special Accommodations Needed: _____________________________________
Send completed form by March 14, 2007 to: Carolyn Banas
                                          Office of Problem- Solving Courts
                                          Via FAX to (410) 841-9850

                                         OR       E-mail to DTCC@mdcourts.gov

								
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