Author: Rewenko, Kaitlyn A

Health and Life Sciences Career Initiative
(HL-SCI)

Name:
E-mail Address:
Please circle the session time you plan to attend:
10am-12pm 4pm-6-pm
*Please make certain you circle the correct session so your name can be entered into the
appropriate drawing for the Kindle Fire HD! You must be present to claim the prize.

Please check what program you’re interested in:
Biotechnology
Health Information Management
Gerontology
Health Sciences
Medical Assisting
Paramedic Studies
Nursing
How did you hear about this event?
TV Facebook CCC Website Other (please indicate where)
________________________

Where: Room 206
Capital Community College
950 Main Street
Hartford, Connecticut 06103
When: Tuesday July 22nd
Time: 10am-12pm and 4pm-6pm

Please submit the completed Registration Form one of the following ways:
e-mail to krewenko@capitalcc.edu, drop off in Registration box located at the
Welcome Center on the 2nd Floor or Register by phone (860) 906-5120

950 Main Street
Hartford, Connecticut 06103
www.capitalcc.edu
860-906-5077

This project is funded in whole by the Connecticut Health & Life Sciences Career Initiative (HL-SCI), a Trade Adjustment Assistance Community College and Career Training grant, as implemented by the U.S. Department of Labor. HL-SCI is an equal opportunity program. Auxiliary aids and services are available upon request to individuals with disabilities.