SLD/OHI/TBI/OI District Contact Meeting
Embassy Suites USF
3705 Spectrum Boulevard, Tampa, Florida, 33612
November 4th, 2016 (Friday)

Please use this form to help us update your contact information and to let us know if you will be attending and if you will need a hotel sleeping room for Thursday night, November 3rd. Sleeping rooms will be available only for people who have to travel more than 50 miles. We will be paying for the hotel rooms through a purchase order so you need to mark on this survey if you will be attending and if you will need a hotel room. Reimbursement for additional travel expenses will be available through the University of South Florida, so please mark on this survey if you need general travel reimbursement (meals, mileage, tolls, etc.). Remember, travel reimbursement is only available if you are traveling more than 50 miles one way.

If someone else if coming in your place please share this survey with them. An agenda can be downloaded on our calendar event site - http://events.tlc-mtss.com/tlc.mtss/detail/12/1478232000000

Please let me know if you have any questions.

David Davis - david@tlc-mtss.com
PS/RtI Technology

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* 1. First Name

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* 2. Last Name

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* 3. District/Organization

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* 4. Job Title

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* 5. I'm the district contact for the following area(s):

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* 6. Email Address

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* 7. Cell Number (in case of emergency)

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* 8. Will you be attending the November 4th meeting?

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* 9. Will you require any accommodations or supports during the meeting?

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* 10. Will you need a hotel room for Thursday night, November 3rd?

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* 11. Will you require any accommodations or supports in your hotel room?

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* 12. Will you need general travel reimbursement (meals, mileage, tolls, etc.)

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* 13. Comments?

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