VERY IMPORTANT! If this is your first time to participate in a West GREAT Center workshop, you must complete this form as well as the first-time participant form.

First-time participant. [This form is a Word document. If you need this document in a different format due to any type of accessibility issue, please contact Lucille Dominguez, by phone (915) 747-6824 or e-mail ldominguez5@utep.edu.]

I. Workshop Information

Workshop Topic:

(Please copy from the calendar and paste the exact name of the training into Workshop Topic.)

Workshop Date(s):

Workshop Time(s):

Workshop City:

II. Participant Registration Information

First Name: MI: Last Name:

Title:

Address:

City:       Zip:

Phone (work): Phone (home):

Fax:

Email (work): Email (home):

Program Affiliation:

III. In order to provide you with the highest quality training, please answer the following questions.

1. What types of training have you had in this area of adult education/family literacy?

2. What is your expectation from this training; what do you expect to learn or gain from it?

Click the "Submit" button below and the form information will be sent to the West GREAT Center.

If you have additional questions, please contact Lucille Dominguez by phone (915) 747-6824 or e-mail ldominguez5@utep.edu.