Registration Form

5^th Annual FTA Drug and Alcohol Program National Conference
Sheraton Universal Hotel
333 Universal Hollywood Drive
Universal City, CA 91608

Conference Description

Last Name:

First Name:

Job Category:

* If "Other", please specify:

Organization:

Mailing Address:

City:

State/Province:

* Postal Code: *

Business Telephone:

* Ext: Fax:

Email:

Individuals planning on attending any of the following sessions must pre-register. Please indicate if you would like to pre-register for any of the following sessions:

Beginner Drug and Alcohol Program Manager (DAPM) Training (Day 1, Tuesday, March 16th 9:00 am to 4:30 pm)
Reasonable Suspicion Training (Day 1, Tuesday, March 16th 10:00 am to 12:00 pm)*
Reasonable Suspicion Training (Day 1, Tuesday, March 16th 2:00 pm to 4:00 pm)*
Reasonable Suspicion Training (Day 3, Thursday, March 18th 10:30 am to 12:30 pm)*

*Note: The Reasonable Suspicion Training session will satisfy 49 CFR Part 655.14 minimum training requirements. Certificates of completion will be mailed to all individuals that complete the 2-hour session.

Please join us for a Peer Social
Wednesday, March 17, 2010
5:00 pm to 6:30 pm
Sheraton Universal Hotel
Starview Room

There will be light refreshments and a cash bar.

Yes, I will be attending the Peer Social