1. Course (Complete one form for each course) Course Title Course date: 2. Participant Information Job Code (Class) Number & Title Participant’s Name Division/Bureau E-mail/Work Phone/Contact # 3. Supervisor and Liaison’s Approval Name (Print) Signature Supervisor’s Supervisor’s Phone E-Mail Name: Circle One Liaison’s Signature: Liaison’s 4. Enrollment Information 5
1. Course (Complete one form for each course) Course Title Course date: 2. Participant Information Participant’s Name Job Code (Class) Number & Title Division/Bureau E-mail/Work Phone/Contact # 3. Supervisor and Liaison’s Approval Supervisor’s Name (Print) Supervisor’s Signature Phone E-Mail Liaison’s Name: Circle One Liaison’s Signature: 4. Enrollment Information 5
enrollment_form.docx