Residence Life Staff Training - Group Registration

Name of Division:	Chestnut Residence Family Housing Graduate House Innis Knox Loretto Massey New College St. Michael's Trinity University College Victoria University Woodsworth Other
If You Selected 'Other', Please Specify:
Name of the Person Completing This Form:
Position of the Person Completing This Form:
Name(s) and Position(s) of Any Other Professional Staff Who Will be Attending Training:
Total Number of Staff Attending Training From Your Division (including professional staff):

The cost for Residence Life Staff Training is $130 per person.  This includes all meals indicated on the schedule as well as all in-service training provided throughout the year.

Please Indicate Your Preferred Method of Payment:

Internal Debit Memo Cheque

If you will be paying by cheque an invoice will be sent to you shortly.  If you will be paying by internal debit memo, please provide your account numbers below.

CFC:
CC:
G/L:

Please enter the names of all of the Dons/RAs from your division who will be attending training this year.

1.:
2.:
3.:
4.:
5.:
6.:
7.:
8.:
9.:
10.:
11.:
12.:
13.:
14.:
15.:
16.:
17.:
18.:
19.:
20.:
21.:
22.:
23.:
24.:
25.:

Please Enter Your Email Address: