Veterans Services Accreditation Course Registration
Important Notice: This form is only to be completed by the Regional Director, TDVS Learning & Development Staff, or TDVS Leadership.
Name of Requesting Authority *
Your answer
*
For Security Purposes - Last Five Digits of RACIFD *
Your answer
Name of Attendee *
Your answer
Attendee's Email Address *
Your answer
Attendee's Telephone Number *
Your answer
Does the attendee require accommodations due to a disability covered by the American's with Disabilities Act (ADA)?
Is the attendee a county partner or TDVS employee? *
Office Location *
Event Choice *
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