Sexual and Relationship Violence Resource Consultant

Training Registration

We are pleased that you are interested in becoming involved with this important support network for our shared campus community

To sign up for the June 2008 Resource Consultant Training, complete and submit the below form, or download the form here and submit the completed document to Jacqueline A. Rogers at jarogers@upenn.edu / 215.573.7944 (fax). Registration deadline: Wednesday, May 28, 2008, 5PM.

YOU MUST ATTEND ALL FOUR TRAINING SESSIONS IN THEIR ENTIRETY TO BECOME A SEXUAL AND RELATIONSHIP VIOLENCE RESOURCE CONSULTANT. Please confirm that you are able to attend on all four days before registering for the training.

Tuesday, June 3, 2008, 10AM-2PM

Thursday, June 5, 2008, 10AM-2PM

Monday, June 9, 2008, 10AM-2PM

Wednesday, June 11, 2008, 10AM-2PM

A working lunch will be served each day of the training.

Registration Form:

  
 
    
Name:
    

  
  
University :

  
  
 
    
Departmental Affiliation:
    

  
 
    
Title:
    

  
  
 
    
Campus Address:
    
 (include office #, building, street address, and zip code )
  
  
 
    
Email:
    

  
  
 
    
Campus Phone Number: