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* 1. Employing agency name:

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* 2. If your transportation employees have mandatory "in-service" meetings/orientations where LSERS could be listed as a participant on the agenda, please indicate the anticipated date and time of meeting.

Date
Time

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* 3. Who can we count on to help us coordinate with transportation meetings?

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* 4. If your maintenance employees have mandatory "in-service" meetings/orientations where LSERS could be listed as a participant on the agenda, please indicate the anticipated date and time of meeting.

Date
Time

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* 5. Who can we count on to help us coordinate with maintenance meetings?

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* 6. If your custodial employees have mandatory "in-service" meetings/orientations where LSERS could be listed as a participant on the agenda, please indicate the anticipated date and time of meeting.

Date
Time

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* 7. Who can we count on to help us coordinate with custodial meetings?

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* 8. Please share topic/subject you feel education is most desired and your suggested method of presentation.

  On-site Group On-site Individual Webinar Any/All
Location

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* 9. Please share topic/subject you feel education is most desired and your suggested method of presentation.

  On-site Group On-site Individual Webinar Any/All
Location

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* 10. Please share topic/subject you feel education is most desired and your suggested method of presentation.

  On-site Group On-site Individual Webinar Any/All
Location

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* 11. Additional comments

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