HCSAAA New Employee Training Program

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					                                  HCS/AAA Employee Training Program


           REGISTRATION FAX FORM FOR THE WEEK OF OCTOBER 9-13, 2000
To:          Carol Sloan, Home & Community Services, Fax: 360-407-0304
From:        NAME_______________________________________________ PHONE_______________________
             FAX__________________________REGION/PSA:________________________________________
Date:        _______________________________           # of Pages_________________________

INSTRUCTIONS FOR AAA AND HCS SOCIAL SERVICES STAFF:
Please list ONE nominated staff person (N) and THREE alternates (A) to contact in case the first one
cannot attend.

Check
 N A         Name (spell)                Title             Office Address          Phone         Fax




INSTRUCTIONS FOR HCS FINANCIAL STAFF:
Please list TWO nominated staff persons (N) and THREE alternates (A) to contact in case the first one
cannot attend.

Check
 N A         Name (spell)                Title             Office Address          Phone         Fax




   Please fax this form to Carol Sloan, fax: 360-725-2646, NO LATER THAN FRIDAY,
                                   September 15, 2000.

				
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