Eligibility to attend - currently vested in VCERA and within 7 years of retirement

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* 1. Employee Name

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* 2. Employee ID Number

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* 4. Primary Phone

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* 5. Will your Spouse/Partner be attending the workshop with you?

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* 6. Name of Spouse/Partner that will be attending the workshop with you.

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* 7. Please indicate your approximate retirement timeline. I plan to retire in . . .

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* 8. Please indicate if you require any special accommodations in order to attend this workshop.

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