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Date
of Request: |
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Peer
Group: |
(Planning, Training, Staff Development, Other) |
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Purpose
of Meeting: |
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Proposed
Date(s): |
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Time: |
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Location: |
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Number
to Attend: |
(State staff and college personnel only) |
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Meeting
Contact: |
(First and Last Name) |
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Contact’s
Telephone: |
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Email
Address: |
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