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									                                            EARN Conference
                                         REGISTRATION FORM 2012
                                  HILTON GARDEN SOUTH PADRE ISLAND
                                          OCTOBER 25, 2012
Please complete the following information (please type or print ledgibly):

Your Business and/or Organization Name:

Address:

City:                                     State:                             ZIP:

Phone:                            Fax:                     E-Mail:

Attendees Names: __________________________________________________

___________________________________________________________________

Attendees address and phone: _____________________________________________________

Email Address :                                                      Registration date:   ________
                EARN Forum Schedule:
                Registration: 8:00 a.m.
                Conference 8:30 a.m. to 3:30 p.m.
                Wrap up: 3:00 p.m. to 3:30 p.m.
                Lunch will be provided as part of conference
                A Group motivational event will be included in EARN Forum.
                 DESCRIPTION: A Strong Workforce is an Inclusive Workforce: WHAT CAN YOU DO?
Information to be covered
     Showcase of DARS and Workforce Services .
     Partner with DARS Job Developer and Workforce Service Business Unit to enhance your business
      opportunities to hire and retain good employees. .
     Invite one or more colleagues to attend EARN. Audience will be over 200 local area employers and/or
      business representatives.

For additional information, please contact:
Bruce Bell-Texas Department of Assistive and Rehabilitation Services- 956 389-8950
Maria Roussett-Workforce Solutions Cameron-956.548-6700 ext 4535 or 956 371-1164
Maria Solis-Texas Department of Assistive & Rehabilitative Services-956.389-8950

PLEASE RETURN COMPLETED REGISTRATION FORM ON OR BEFORE Friday October 19th , 2012:

DARS 3305 S. Expressway 83 Harlingen, TX. 78550
Fax: 956-389-8971 or email to: maria.solis@dars.state.tx.us

CONFIRMATION OF REGISTRATION RECEIVED WILL BE EMAILED DIRECTLY TO ATTENDEE’S EMAIL, SO
PLEASE MAKE SURE YOUR EMAIL IS CORRECT. Or you can call Maria Solis for confirmation at 956

								
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