1. CDC/ATSDR Commissioned Corps Pre-Retirement Seminar, Atlanta, GA (May 2-3, 2012)

The 2-day seminar will focus on entitlements and benefits of a retired Commissioned Corps officer.

Date of Seminar: May 2-3, 2012

Location: 1600 Clifton Road, Atlanta, GA 30333 (Global Communications Center - Auditorium A)

Time: 8:00 AM - 4:30 PM (both days)

Note: Agenda and seminar materials will be available on-site - Day 1 of the seminar.

* 1. Participant Information:

Please identify your temporary rank below.

* 2. Officer Information

* 3. Please provide your total years of creditable service:

* 4. Indicate your USPHS Professional Category:

* 5. Which CDC National Center do you work in? If non-CDC attendee please indicate your Public Health Service affiliation organization.

* 6. Will any guests accompany you: