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FIC/TTP 2010 January-June Registration Form

Agency Name:
Address:
Suite
City:
State:      Zip:  
Telephone:
        Fax:
E-mail:
 
Name of Attendee:
Title:
Description of Agency:
Population Served:
 
Annual Operating Budget:
Agency existing problem area (s) or need (s):
What technical assistance or training is needed to address the problem/need described above?
Do you get funds from the following sources (check all that apply):

 

Please select all of the trainings you would like to attend:

Human Resources I
 

Human Resources II
 

Strategic Planning
 

Meet the GrantMakers
 

Grantwriting 101
 

How to Create a Development Plan
 
I certify that my agency serves low and/or very low income people in accordance with the U.S. Department of Health and Services income poverty guidelines.
I certify that my agency verifies the income levels of clients by collecting mortgage statements, rent/lease agreements; gas or electric bills; pay stubs and/or benefits eligibility letters.
 
Initials: Date: (mm/dd/yyyy)


TRAINING LOCATIONS

Broadway Location : HOP/ICS- 5715 S. Broadway, Los Angeles , Calif. 90037
San Pedro Location : SSG- RMO- 5811 S. San Pedro, Los Angeles, Calif. 90011
Computer Lab : KYCC- 3727 W. 6th Street, Suite 300, Los Angeles, Calif.  90020

 

Pre-Registration Required! No Walk Ins! Space is limited!

Doors open at 8:30am. No admissions after 9:20am. No exceptions. Submitting this form does NOT guarantee placement. You will receive registration confirmation or a waiting list notice within one business day of your submission. Only two representatives allowed per organization.

Classes are filled in the order registrations are received.
For more information call (213) 236-9389 or email us at vkelley@ssgmain.org

     


If you do not know your supervisorial district click here.

For more information call (213) 236-9399 or email us at vkelley@ssgmain.org

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