Information about http://www.fd.org/pdf_lib/TtheTRegForm.pdf

REGISTRATION FORM …

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Created: Thu Sep 13 15:34:14 2007
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                           REGISTRATION FORM
                                     Train the Trainers Workshop
                                        November 15-16, 2007
                                             Seattle, WA


This program is for inexperienced and experienced trainers who are interested in improving their training
skills. It involves both large plenary sessions and small group skills workshops. Each registrant must identify
a topic on which they will work in small groups and bring a laptop for use during the workshop. There is no
tuition charge and program materials are provided free of charge. Attendees or their offices will bear
expenses for their travel, hotel accommodations, meals and other incidentals. Registrations should be
received by October 17, 2007. Registrants will be sent a confirmation with hotel and travel information.

(NOTE: PLEASE DO NOT MAKE AIRLINE RESERVATIONS BEFORE RECEIVING
CONFIRMATION THAT YOU ARE REGISTERED FOR THE WORKSHOP)

       To register, complete the following form and fax or e-mail it to Karen Holsendorff, Office of
Defender Services Training Branch, Administrative Office of the U.S. Courts; fax (202) 502-2911; e-mail:
Karen_W_Holsendorff@ao.uscourts.gov. For further information, call (800) 788-9908.

(Please Print or Type)

   Name: __________________________________________________________
   Title and Office: __________________________________________________
   Address: ________________________________________________________
   City, State, Zip Code: _____________________________________________
   Telephone: ______________________ Facsimile: _____________________
   E-Mail Address: __________________________________________________
   District(s) in which you practice: _____________________________________
   Number of CJA cases in past 5years :__________

    Training Experience (List up to 5 Organization(s) and Topics):




    Areas of Expertise:




    Training Topic You Will Use For Skills Exercises During Workshop:



    Proficiency with Powerpoint:                     Beginner                Intermediate