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Name and Contact Information
 

First Name:
Last Name:
Organization:
Job Title:
Street Address:
City:
State: Zip code:
E-mail Address:
Day Phone :
   
   

Participant Profile

(check all that apply):
 

individual artist
individual representing a performing group
individual representing an organization
individual representing a school
individual representing a city or county governmental entity
individual representing a state governmental entity (includes Board of Regents)
Other (please specify:)

   

I will attend the following GRANT WRITING WORKSHOPS:
 

Tuesday, July 15,2008, Fort Madison Comfort Inn and Suites 1:00 pm - 4:00 pm
Monday, August 25, 2008, State Historical Building, Des Moines 1:00 pm - 4:00 pm
Tuesday, September 9, 2008, Clinton Cnty Historical Society Museum 1:00 pm - 4:00 pm
Tuesday, September 23, 2008, Council Bluffs Public Library 1:00 pm - 4:00 pm
Monday, December 1, 2008, State Historical Building, Des Moines 1:00 pm - 4:00 pm
Monday, February 23, 2009, State Historical Building, Des Moines 1:00 pm - 4:00 pm
 

I will attend the following OFFICE ON THE ROAD sessions:
 

Thursday, May 15, 2008, Le Mars Art Center 1:00 pm - 5:00 pm
Wednesday, July 16, 2008, Fort Madison Comfort Inn and Suites 8:30 am - 12:30 pm
Wednesday, September 24, 2008, Council Bluffs Public Library 8:30 am - 12:30 pm
 

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