CVS 2021 & 2022 Grant Application Training Workshop Registration Sign-Up: CORTEZ
Please complete one form PER PERSON planning to attend the training.  Limit of 2 people per agency may register for the workshop.  You will receive a confirmation email shortly.

If you sign-up for the training and are unable to attend, please email us at cvsgrants@state.co.us as there may be a wait list.  Capacity of 58.
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Location: First National Bank Cortez, Community Room, 2258 E. Main St., Cortez, CO 81321
Date & Time: Tuesday, January 28th 2020  1-5 p.m.
Name (First and Last): *
Agency or Department: *
Title: *
Email Address: *
Phone Number: *
Address (including city & zipcode): *
Special Accommodations:
Please list any special accommodations you may need for the workshop, such as ASL interpretation.
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