Refresher Training: July 2: Shannon - REGIONAL OFFICE of ...
Refresher Training: July 2: Shannon - REGIONAL OFFICE of ...
Refresher Training: July 2: Shannon - REGIONAL OFFICE of ...
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SCHOOL BUS DRIVER REFRESHER TRAINING CLASS<br />
REGISTRATION FORM<br />
This form must be completed and faxed to the Regional Office no later than THURSDAY, JUNE 27, 2013 - FAX: 815-947-2717<br />
Date / Time <strong>of</strong> Class:<br />
Tuesday, <strong>July</strong> 2, 2013 / 7:00 p.m. - 9:00 p.m. (Eastland Middle School/<strong>Shannon</strong> - Cafeteria)<br />
Employer Name:<br />
Employer Address:<br />
City, State, Zip<br />
Employer Phone:<br />
Please complete all the information for each person attending.<br />
EMPLOYEE NAME<br />
(Please Print) DRIVER'S LICENSE #<br />
DATE OF HIRE<br />
INITIAL OR<br />
REFRESHER<br />
TRAINING<br />
(I / R)<br />
Tuesday, <strong>July</strong> 2, 2013 - <strong>Shannon</strong>
EMPLOYEE NAME<br />
(Please Print) DRIVER'S LICENSE #<br />
DATE OF HIRE<br />
INITIAL OR<br />
REFRESHER<br />
TRAINING<br />
(I / R)<br />
Tuesday, <strong>July</strong> 2, 2013 - <strong>Shannon</strong>
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