ASIST Registration Form for Clackamas Community College
We look forward to seeing you at the upcoming ASIST workshop at Clackamas Community College from 8:30-4:30 on January 23-24, 2020.  The training will be held on the CCC campus and exact location and room details will soon follow. Breakfast, lunch and afternoon snacks will be provided at the training.  Attendance for the full two days is mandatory.
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Email *
Participant Name *
Participant Pronouns *
Participant Phone *
Participant Email *
Participant Address *
City *
State *
Zip *
Participant Employer *
Participant Employment Position *
Do you require any special accommodations?
A copy of your responses will be emailed to the address you provided.
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