! This course is full.
    We will offer it again in February, 1999. If you would like to sign up for that session, please complete the Waiting List Form.

Course registration is limited to 40 individuals. The cost is $35 for parents or family members; $50 for professionals.

Send a check made payable to: VCU-RRTC, SSI Project, Rehabilitation Research and Training Center on Supported Employment, Virginia Commonwealth University, PO Box 842011, Richmond, VA 23284-2011

You may provide a purchase order number. Registration forms will be taken until the week before unless the class is full. Please e-mail Teri for any special exceptions.

Course Title:

Your Name:

Your Address:

E-mail Address:

Phone Number:

Fax Number:

Parent/ Family Member:

Professional:

Payment Method:

After you've finished registration form, click on submit.



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