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PERSONAL INFORMATION |
| First Name:
*
Last Name:
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Company Name:
* Title:
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| Address:
* City:
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State:
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Zip:
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| Daytime Phone:
* Evening Phone:
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| Fax:
Other Phone:
Email Address:
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| How
may we contact you?
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| All calls placed
from our office show as private on caller ID. Due to confidentiality
laws, when we contact you (via phone, email, postcard, fax, etc.)
regarding your registration, may we identify ourselves as a
representative from CARE?
Yes
No
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Yes, I would like to receive CARE's FREE newsletter, Stepping
Stones. |
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How did you hear about us?
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Comments:
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REGISTER FOR WORKSHOPS:
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DEPARTMENT OF TRANSPORTATION TRAININGS FOR SUPERVISORS AND
DRIVERS
DOT
for Drivers
- 1 hour training
- Covers updated Federal
regulations, the Substance Abuse Professional (SAP)'s role
and the SAP evaluation process, impact of alcohol/drugs on
driving
- Certificate upon completion
Tuesday,
October 9, 2007 - 9:00 to 10:00 am
Thursday,
December 13, 2007 - 8:00 to 9:00 am
Wednesday, March
19, 2008 - 8:00 to 9:00 am
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DOT
for Supervisors
- 2 hour training
- Covers updated Federal
regulations, identification, documentation and constructive
confrontation practices
- Certificate upon completion
Tuesday,
October 9, 2007 - 9:00 to 11:00 am
Thursday,
December 13, 2007 - 8:00 to 10:00 am
Wednesday, March
19, 2008 - 8:00 to 10:00 am
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| $15.00 for employees of CARE's
WorkLife Solutions contracted client.
$50.00 for employees of CARE's WorkLife Solutions non-contracted client.
Cost includes DOT handbook for
safety-sensitive employees, certificate of completion and snacks.
Hosted at CARE's WorkLife
Solutions main office: 31900 Utica Rd., Fraser, MI, 48026 |
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SIGN UP FOR CARE'S ANNUAL EVENTS:
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Items for Purchase:
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Department
of Transportation books (available to anyone)-$8.00 per book
includes S&H |
WorkLife Solutions brochures for Employees
*(only contracted
companies can order) $5.00 per pack of 50 includes S&H |
WorkLife Solutions Wallet Cards
*(only contracted
companies can order) $5.00 per pack of 100 includes S&H |
WorkLife Solutions 8.5 x 11 full color posters
*(only
contracted companies can order) $1.50 each includes S&H |
WorkLife Solutions paycheck stuffers
*(only contracted
companies can order) $5.00 per pack of 100 includes S&H |
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PAYMENT INFORMATION
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If paying by check or money
order, please submit completed form with payment to: CARE 31900 Utica Road Fraser, Michigan 48026 Ph:
866.888.1555 Fx: 586.541.0034
*REQUIRED FIELD |