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“As the U.S. becomes more scientifically complex and its job market more technology-driven, the national need for a larger, more diverse, science-and computer-literate and skilled workforce becomes more acute.”


- New Formulas for America's Workforce: Girls in Science and Engineering. National Science Foundation, 2003.

Mentoring Program
Coordinator Workshop

Registration Form

I wish to attend the training workshop offered at:
Lake Land Community College, April 24, 2009.


First Name

Last Name
Position/Title
Institution
Teaching Field
(if applicable)
E-mail Address
Work Address Line 1
Work Address Line 2
City
State
     Zip
Daytime Phone
 Ext.
Alternate Phone
 Ext.
Fax


You will receive a copy of your submission by email, but
you may want to print out a copy for your records before submitting.