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* 1. Name

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* 2. Email address

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* 3. Phone number

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* 4. This is a one-day workshop held on two different days: Friday, October 20, 2017 OR Saturday, October 21, 2017. Please indicate which day you would like to attend:

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* 5.  Please identify your age range:

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* 6. Thank you for registering! This workshop is being offered by the East Island Network for English Language Services-REISA in partnership with Concordia University, Department of Applied Human Sciences, Graduate Program in Human Systems Intervention.
You will be contacted further by a Concordia Masters Student. If you have any questions or concerns, please let us know:

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