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<div style=3D'mso-element:para-border-div;border:solid windowtext 1.5pt;
padding:1.0pt 4.0pt 1.0pt 4.0pt'>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;border:none;
mso-border-alt:solid windowtext 1.5pt;padding:0in;mso-padding-alt:1.0pt 4.0=
pt 1.0pt 4.0pt'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:18.0pt;font-=
family:
Arial'>The Center for Career and Life Development (CCLD)<o:p></o:p></span><=
/b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;border:none;
mso-border-alt:solid windowtext 1.5pt;padding:0in;mso-padding-alt:1.0pt 4.0=
pt 1.0pt 4.0pt'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:18.0pt;font-=
family:
Arial'>Class/Club Workshop &amp; Presentation Request Form<o:p></o:p></span=
></b></p>

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<div style=3D'mso-element:para-border-div;border:solid maroon 1.5pt;padding=
:1.0pt 4.0pt 1.0pt 4.0pt'>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;border:none;
mso-border-alt:solid maroon 1.5pt;padding:0in;mso-padding-alt:1.0pt 4.0pt 1=
.0pt 4.0pt'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-family:Arial'>SUB=
MIT THIS
COMPLETED FORM TO:<span style=3D'mso-spacerun:yes'>&nbsp; </span><a
href=3D"mailto:sccareer@saddleback.edu">sccareer@saddleback.edu</a><o:p></o=
:p></span></b></p>

</div>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span style=3D'font-size:11.0pt;font-family:Arial'><o:p>&nbsp;</o:p=
></span></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:11.0pt;font-family:Arial'>The Center for Career and Life=
 Development
(CCLD) at <st1:place w:st=3D"on"><st1:PlaceName w:st=3D"on">Saddleback</st1=
:PlaceName>
 <st1:PlaceType w:st=3D"on">College</st1:PlaceType></st1:place> is now avai=
lable
for workshops/presentations across campus for classes, clubs, and other
groups.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Due to other demands =
within
the CCLD, your workshop request may be delayed until a time and date is
confirmed for your request.<span style=3D'mso-spacerun:yes'>&nbsp; </span><=
o:p></o:p></span></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></b></=
p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:Arial'>Sincerely,<o:p></o:p></span></=
b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></b></=
p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:Arial'>The CCLD Team:<span
style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'mso-tab-count:7'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;</span><span
style=3D'mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span><span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp; </span>General
Contact:<span style=3D'mso-spacerun:yes'>&nbsp; </span>(949) 582-4575<o:p><=
/o:p></span></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:Arial'><a
href=3D"mailto:ehilden@saddleback.edu?subject=3DWorkshop%20Request">Eric Hi=
lden,
Career Placement Officer</a><span style=3D'mso-tab-count:4'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:7'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp; </span><a
href=3D"mailto:slaizadeh@saddleback.edu?subject=3DWorkshop/Presentation%20R=
equest">Sholeh
Alizadeh, Re-Entry/Women&#8217;s Center</a> <o:p></o:p></span></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:Arial'><a
href=3D"mailto:dmineo@saddleback.edu?subject=3DWorkshop/Presentation%20Requ=
est">Don
Mineo, Career Guidance Officer</a><span style=3D'mso-tab-count:4'>&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </spa=
n><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;</span><span
style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp; </span><a
href=3D"mailto:mengeles@saddleback.edu?subject=3DWorkshop/Presentation%20Re=
quest">Mike
Engels, Career Technician</a><o:p></o:p></span></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:Arial'><a
href=3D"mailto:rrios@saddleback.edu?subject=3DWorkshop/Presentation%20Reque=
st">Rosann
Rios, Office Assistant</a><span style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;
</span><span style=3D'mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp; </span><a
href=3D"mailto:jdelacruz@saddleback.edu?subject=3DWorkshop/Presentation%20R=
equest">Juan
De La Cruz, Office Assistant</a><o:p></o:p></span></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:Arial'><span style=3D'mso-tab-count:9=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></b><=
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an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span>TYPE OF WORKSHOP/PRESENTATION REQUESTED:<br>
<br>
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</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D130 height=3D49
src=3D"CCLDWorkshopRequestForm_files/image006.gif" v:shapes=3D"_x0000_i1027=
"><![endif]></span><span
style=3D'mso-field-code:" CONTROL Forms\.OptionButton\.1 "'><!--[if gte vml=
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.25pt'
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=3D"this"
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""/>
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 <w:borderright type=3D"single" width=3D"4"/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D185 height=3D49
src=3D"CCLDWorkshopRequestForm_files/image008.gif" v:shapes=3D"_x0000_i1028=
"><![endif]></span><span
style=3D'mso-field-code:" CONTROL Forms\.OptionButton\.1 "'><!--[if gte vml=
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25pt'
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=3D"this"
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""/>
 <w:bordertop type=3D"single" width=3D"4"/>
 <w:borderleft type=3D"single" width=3D"4"/>
 <w:borderbottom type=3D"single" width=3D"4"/>
 <w:borderright type=3D"single" width=3D"4"/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D111 height=3D49
src=3D"CCLDWorkshopRequestForm_files/image010.gif" v:shapes=3D"_x0000_i1029=
"><![endif]></span><span
style=3D'mso-field-code:" CONTROL Forms\.OptionButton\.1 "'><!--[if gte vml=
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=3D"this"
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""/>
 <w:bordertop type=3D"single" width=3D"4"/>
 <w:borderleft type=3D"single" width=3D"4"/>
 <w:borderbottom type=3D"single" width=3D"4"/>
 <w:borderright type=3D"single" width=3D"4"/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D106 height=3D49
src=3D"CCLDWorkshopRequestForm_files/image012.gif" v:shapes=3D"_x0000_i1030=
"><![endif]></span><span
style=3D'mso-field-code:" CONTROL Forms\.OptionButton\.1 "'><!--[if gte vml=
 1]><v:shape
 id=3D"_x0000_i1031" type=3D"#_x0000_t75" style=3D'width:116.25pt;height:35=
.25pt'
 o:bordertopcolor=3D"this" o:borderleftcolor=3D"this" o:borderbottomcolor=
=3D"this"
 o:borderrightcolor=3D"this">
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image013.wmz" o:title=3D=
""/>
 <w:bordertop type=3D"single" width=3D"4"/>
 <w:borderleft type=3D"single" width=3D"4"/>
 <w:borderbottom type=3D"single" width=3D"4"/>
 <w:borderright type=3D"single" width=3D"4"/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D157 height=3D49
src=3D"CCLDWorkshopRequestForm_files/image014.gif" v:shapes=3D"_x0000_i1031=
"><![endif]></span></span></b><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:14.0pt;font-=
family:
Arial;color:maroon'><br>
<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><br>
<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style=3D'mso-tab-count:7'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>CONTACT INFORMATION:<br>
</span></b><b style=3D'mso-bidi-font-weight:normal'><span style=3D'font-fam=
ily:
Arial'><br>
<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><=
/b><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:10.0pt;font-=
family:
Arial'>TODAY&#8217;S DATE:<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>REQUE=
STOR&#8217;S
NAME: <span style=3D'mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp; </span>TITLE/POSITION<br>
<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1032" type=3D"#_x0000_t75" style=3D'width:93.75pt;height:18p=
t'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image015.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D125 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image016.gif" v:shapes=3D"_x0000_i1032=
"><![endif]></span><span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></b><span
style=3D'font-size:10.0pt;font-family:Arial'><span style=3D'mso-field-code:=
" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><v:shape
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""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D228 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image018.gif" v:shapes=3D"_x0000_i1033=
"><![endif]></span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span=
><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span style=3D'mso-field-code:" CON=
TROL Forms\.CheckBox\.1 "'><!--[if gte vml 1]><v:shape
 id=3D"_x0000_i1034" type=3D"#_x0000_t75" style=3D'width:54pt;height:21.75p=
t'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image019.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D72 height=3D29
src=3D"CCLDWorkshopRequestForm_files/image020.gif" v:shapes=3D"_x0000_i1034=
"><![endif]></span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;</span><span style=3D'mso-fiel=
d-code:
" CONTROL Forms\.CheckBox\.1 "'><!--[if gte vml 1]><v:shape id=3D"_x0000_i1=
035"
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""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D58 height=3D27
src=3D"CCLDWorkshopRequestForm_files/image022.gif" v:shapes=3D"_x0000_i1035=
"><![endif]></span><span
style=3D'mso-field-code:" CONTROL Forms\.CheckBox\.1 "'><!--[if gte vml 1]>=
<v:shape
 id=3D"_x0000_i1036" type=3D"#_x0000_t75" style=3D'width:63pt;height:20.25p=
t'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image023.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D84 height=3D27
src=3D"CCLDWorkshopRequestForm_files/image024.gif" v:shapes=3D"_x0000_i1036=
"><![endif]></span><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span style=3D'mso-field-code:" CON=
TROL Forms\.CheckBox\.1 "'><!--[if gte vml 1]><v:shape
 id=3D"_x0000_i1037" type=3D"#_x0000_t75" style=3D'width:63pt;height:20.25p=
t'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image025.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D84 height=3D27
src=3D"CCLDWorkshopRequestForm_files/image026.gif" v:shapes=3D"_x0000_i1037=
"><![endif]></span><b
style=3D'mso-bidi-font-weight:normal'><br>
<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><o:p></o:p></b><=
/span></p>

<p class=3DMsoNormal style=3D'border:none;mso-border-alt:solid windowtext 2=
.25pt;
padding:0in;mso-padding-alt:1.0pt 4.0pt 31.0pt 4.0pt'><b style=3D'mso-bidi-=
font-weight:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><span style=3D'mso-tab=
-count:
2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EMAIL:<span
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CONT=
ACT</span></b><span
style=3D'font-size:10.0pt;font-family:Arial'> <b style=3D'mso-bidi-font-wei=
ght:
normal'>PHONE#<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CLASS/CLUB
NAME:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;</span><br>
<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></b><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1038" type=3D"#_x0000_t75" style=3D'width:198pt;height:18pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image027.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D264 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image028.gif" v:shapes=3D"_x0000_i1038=
"><![endif]></span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b
style=3D'mso-bidi-font-weight:normal'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span><span style=3D'ms=
o-tab-count:
2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></b><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1039" type=3D"#_x0000_t75" style=3D'width:132.75pt;height:18=
pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image029.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D177 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image030.gif" v:shapes=3D"_x0000_i1039=
"><![endif]></span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span><b style=3D'mso-bidi-fo=
nt-weight:
normal'><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;</span></b><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span style=3D'mso-tab-count:1'>&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1040" type=3D"#_x0000_t75" style=3D'width:171pt;height:18pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image017.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D228 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image018.gif" v:shapes=3D"_x0000_i1040=
"><![endif]></span><b
style=3D'mso-bidi-font-weight:normal'><br>
<br>
<br>
<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</span></b></span><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:14.0pt;font-=
family:
Arial;color:maroon'>WORKSHOP/PRESENTATION INFORMATION:<br>
<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></b><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-family:Arial;colo=
r:maroon'>*Instructor
must be present in classroom during the workshop/presentation</span></b><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:14.0pt;font-=
family:
Arial;color:maroon'><br>
<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></b><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-family:Arial;colo=
r:maroon'>*CCLD
Computer Lab has 24 workstations (students may have to share if group is
&gt;24)</span></b><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:14.0pt;font-family:Arial;color:maroon'><br style=3D'mso-=
special-character:
line-break'>
<![if !supportLineBreakNewLine]><br style=3D'mso-special-character:line-bre=
ak'>
<![endif]></span></b><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:Arial'><o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'border:none;mso-border-alt:solid windowtext 2=
.25pt;
padding:0in;mso-padding-alt:1.0pt 4.0pt 31.0pt 4.0pt'><b style=3D'mso-bidi-=
font-weight:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'mso-tab-count:4'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1<sup>ST</sup>
CHOICE DATE OF WORKSHOP (mm/dd/yy)<span style=3D'mso-tab-count:1'> </span>T=
ime<span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;
</span>Requested Location <o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'border:none;mso-border-alt:solid windowtext 2=
.25pt;
padding:0in;mso-padding-alt:1.0pt 4.0pt 31.0pt 4.0pt'><b style=3D'mso-bidi-=
font-weight:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span style=3D'mso-tab-count:4'>&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1041" type=3D"#_x0000_t75" style=3D'width:198pt;height:18pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image031.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D264 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image032.gif" v:shapes=3D"_x0000_i1041=
"><![endif]></span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span><span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span=
><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1042" type=3D"#_x0000_t75" style=3D'width:61.5pt;height:18pt=
'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image033.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D82 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image034.gif" v:shapes=3D"_x0000_i1042=
"><![endif]></span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;</span><span
style=3D'mso-field-code:" CONTROL Forms\.OptionButton\.1 "'><!--[if gte vml=
 1]><v:shape
 id=3D"_x0000_i1043" type=3D"#_x0000_t75" style=3D'width:121.5pt;height:19.=
5pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image035.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D162 height=3D26
src=3D"CCLDWorkshopRequestForm_files/image036.gif" v:shapes=3D"_x0000_i1043=
"><![endif]></span><span
style=3D'mso-field-code:" CONTROL Forms\.OptionButton\.1 "'><!--[if gte vml=
 1]><v:shape
 id=3D"_x0000_i1044" type=3D"#_x0000_t75" style=3D'width:1in;height:19.5pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image037.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D96 height=3D26
src=3D"CCLDWorkshopRequestForm_files/image038.gif" v:shapes=3D"_x0000_i1044=
"><![endif]></span><o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'border:none;mso-border-alt:solid windowtext 2=
.25pt;
padding:0in;mso-padding-alt:1.0pt 4.0pt 31.0pt 4.0pt'><b style=3D'mso-bidi-=
font-weight:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p=
></span></b></p>

<p class=3DMsoNormal style=3D'border:none;mso-border-alt:solid windowtext 2=
.25pt;
padding:0in;mso-padding-alt:1.0pt 4.0pt 31.0pt 4.0pt'><b style=3D'mso-bidi-=
font-weight:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'mso-tab-count:4'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>2<sup>nd</sup>
CHOICE DATE OF WORKSHOP (mm/dd/yy)<span style=3D'mso-tab-count:1'> </span>T=
ime<span
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Requested
Location<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'border:none;mso-border-alt:solid windowtext 2=
.25pt;
padding:0in;mso-padding-alt:1.0pt 4.0pt 31.0pt 4.0pt'><b style=3D'mso-bidi-=
font-weight:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'mso-tab-count:4'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1045" type=3D"#_x0000_t75" style=3D'width:198pt;height:18pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image031.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D264 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image032.gif" v:shapes=3D"_x0000_i1045=
"><![endif]></span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span=
><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1046" type=3D"#_x0000_t75" style=3D'width:61.5pt;height:18pt=
'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image033.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D82 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image034.gif" v:shapes=3D"_x0000_i1046=
"><![endif]></span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;</span><span
style=3D'mso-field-code:" CONTROL Forms\.OptionButton\.1 "'><!--[if gte vml=
 1]><v:shape
 id=3D"_x0000_i1047" type=3D"#_x0000_t75" style=3D'width:121.5pt;height:19.=
5pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image039.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D162 height=3D26
src=3D"CCLDWorkshopRequestForm_files/image036.gif" v:shapes=3D"_x0000_i1047=
"><![endif]></span><span
style=3D'mso-field-code:" CONTROL Forms\.OptionButton\.1 "'><!--[if gte vml=
 1]><v:shape
 id=3D"_x0000_i1048" type=3D"#_x0000_t75" style=3D'width:1in;height:19.5pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image040.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D96 height=3D26
src=3D"CCLDWorkshopRequestForm_files/image038.gif" v:shapes=3D"_x0000_i1048=
"><![endif]></span><br>
<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;</span><o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:1.5in;text-indent:-1.5in;border:n=
one;
mso-border-alt:solid windowtext 2.25pt;padding:0in;mso-padding-alt:1.0pt 4.=
0pt 31.0pt 4.0pt'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:10.0pt;font-=
family:
Arial'><span style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'mso-ta=
b-count:
2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>APPROXIMATE
NUMBER OF STUDENTS ATTENDING? <span style=3D'mso-tab-count:2'>&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LOCATION
OF CLASSROOM:<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><br>
<span style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1049" type=3D"#_x0000_t75" style=3D'width:198pt;height:18pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image031.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D264 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image032.gif" v:shapes=3D"_x0000_i1049=
"><![endif]></span><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span style=3D'mso-tab-count:3'>&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span=
><span
style=3D'mso-field-code:" CONTROL Forms\.TextBox\.1 "'><!--[if gte vml 1]><=
v:shape
 id=3D"_x0000_i1050" type=3D"#_x0000_t75" style=3D'width:198pt;height:18pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image031.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D264 height=3D24
src=3D"CCLDWorkshopRequestForm_files/image032.gif" v:shapes=3D"_x0000_i1050=
"><![endif]></span><br>
<span style=3D'color:maroon'><br>
<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;
</span></span>COMMENTS:<span style=3D'mso-field-code:" CONTROL Forms\.TextB=
ox\.1 "'><!--[if gte vml 1]><v:shape
 id=3D"_x0000_i1051" type=3D"#_x0000_t75" style=3D'width:442.5pt;height:37.=
5pt'>
 <v:imagedata src=3D"CCLDWorkshopRequestForm_files/image041.wmz" o:title=3D=
""/>
</v:shape><![endif]--><![if !vml]><img border=3D0 width=3D590 height=3D50
src=3D"CCLDWorkshopRequestForm_files/image042.gif" v:shapes=3D"_x0000_i1051=
"><![endif]></span><br>
<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><br>
<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;
</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;</span><object
 classid=3D"CLSID:D7053240-CE69-11CD-A777-00DD01143C57" id=3DCommandButton1
 width=3D96 height=3D32>
 <param name=3DCaption value=3DSubmit>
 <param name=3DSize value=3D"2540;847">
 <param name=3DFontName value=3DArial>
 <param name=3DFontEffects value=3D1073741825>
 <param name=3DFontHeight value=3D195>
 <param name=3DFontCharSet value=3D0>
 <param name=3DFontPitchAndFamily value=3D2>
 <param name=3DParagraphAlign value=3D3>
 <param name=3DFontWeight value=3D700>
<FONT face=3DFixedsys>&lt;input TYPE=3D"submit" VALUE=3D"<I>Send=20
Info</I>"&gt;&lt;input TYPE=3D"<I>reset</I>"&gt; </FONT>
 </object><object
 classid=3D"CLSID:D7053240-CE69-11CD-A777-00DD01143C57" id=3DCommandButton2
 width=3D96 height=3D32>
 <param name=3DCaption value=3DReset>
 <param name=3DSize value=3D"2540;847">
 <param name=3DFontName value=3DArial>
 <param name=3DFontEffects value=3D1073741825>
 <param name=3DFontHeight value=3D195>
 <param name=3DFontCharSet value=3D0>
 <param name=3DFontPitchAndFamily value=3D2>
 <param name=3DParagraphAlign value=3D3>
 <param name=3DFontWeight value=3D700>
</object><br>
<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;
</span></span></b><code><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt'>&lt;INPUT type=3D&quot;submit&quot;
name=3D&quot;mysubmit&quot; value=3D&quot;Click!&quot;&gt; </span></b></cod=
e><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:10.0pt;font-=
family:
Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></b><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-family:Fixedsys'>=
<span
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span></b><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:8.0pt;font-f=
amily:
Arial'>Date Rec&#8217;d/Staff: _____________</span></b><b style=3D'mso-bidi=
-font-weight:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><o:p></o:p></spa=
n></b></p>

</div>

</div>

</body>

</html>

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