Office of Training and Professional Development (TAPD)

CLASS REGISTRATION FORM

CLASS NAME (PLEASE PRINT)_____________________________________________



WORK AREA/AGENCY______________________________________________________



EMPLOYEE NAME_________________________________________________________



CLASS DATE____________________________________________________________



AGENCY AND SITE: _____________________________________________________    


FROM:_________________________________________________________________

	
 
RETURN PHONE #: ______________________________________________________



FAX #: _______________________________________________________________



DATE: ________________________________________________________________



Send to:  DDDS Training and Professional Development (TAPD)

NEW CASTLE COUNTY			 STOCKLEY CENTER & KENT/SUSSEX COUNTY
Alisha Raiford-Hall			 Kim Toohey/Marcie Manuszak,  #28
Stockton Bldg, Suite 201		 RD 6, Box 1000
261 Chapman Road, Newark, DE  19702	 Georgetown, DE  19947
FAX: (302) 368-6596			 FAX: (302) 934-1944