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“Technological fields will be unable to find enough workers in the U.S. without girls completing high-tech degree programs.”


- Land of Plenty: Diversity as America's Competitive Edge in Science, Engineering and Technology. Congressional Commission on the Advancement of Women and Minorities in Science, Engineering, and Technology Development, 2000.

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.