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Colorado Career Integration Workshop Registration
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Verify email address
*
Your answer
University/Organization
*
Your answer
Department (if applicable)
Your answer
Job Title
*
Your answer
Address Line 1
*
Your answer
Address Line 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Work Phone
*
Your answer
Please note any food allergies or dietary restrictions (vegetarian, vegan, and gluten-free options will be available).
Your answer
Please note any accommodations needed during the workshop (audio, visual, etc.).
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A copy of your responses will be emailed to the address you provided.
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